![Multiple bony changes, including destruction of the medial metaphysis of both tibias (Wimberger sign, left tibia shown, superior arrow) and diffuse tibial periosteal reactions (inferior arrow).

Stephens JR, Arenth J. Wimberger Sign in Congenital Syphilis. The Journal of Pediatrics. 2015;167(6):1451-1451. doi:https://doi.org/10.1016/j.jpeds.2015.09.005](https://prod-files-secure.s3.us-west-2.amazonaws.com/2aa05644-4658-4c26-84d3-64c36b55fb6c/bdadb24a-f3b8-4d43-85e6-cec702100f7f/gr1_lrg.jpg)

Multiple bony changes, including destruction of the medial metaphysis of both tibias (Wimberger sign, left tibia shown, superior arrow) and diffuse tibial periosteal reactions (inferior arrow).

Stephens JR, Arenth J. Wimberger Sign in Congenital Syphilis. The Journal of Pediatrics. 2015;167(6):1451-1451. doi:https://doi.org/10.1016/j.jpeds.2015.09.005

Further reading:

https://doi.org/10.1016/j.jpeds.2015.09.005