Over a 2-year period, the Orthopaedic Service at the Cincinnati (OH) Children's Hospital Medical Center noted eight patients to present with unusual fractures and musculoskeletal problems due to nutritional rickets. All were black, had been breast-fed until 6-12 months of age, and were vegetarians. Four were Black Hebrews who did not include any dairy products or vitamin D supplements in their diet. The diagnosis of nutritional rickets must still be considered when patients present with bone problems and the history reveals a dairy product-free diet.