Diagnostic Radiology/Musculoskeletal Imaging/Metabolic Basic/Subperiosteal resorption

Subperiosteal resorption is virtually pathognomonic for hyperparathyroidism and is typically seen at the radial aspect of the middle phalanx of the index and middle fingers.

Subperiosteal resorption as well as acroosteolysis, the next sign of hyperparathyroidism

Fig. 1 Subperiosteal resorption as well as acroosteolysis, the next sign of hyperparathyroidism.

Subperiosteal resorption in a child

Fig. 2 Subperiosteal resorption in a child

File:Subperi3.jpg File:Subperi4.jpg

Fig. 3 Compare the finger on a patient with hyperparathyroidism, to his normal appearing finger after treatment

References

• Hyperparathyroidism by Adam Myhre, M.D., University of Washington Department of Radiology
• Cooper KL. Radiology of metabolic bone disease. Endocrinology Metabolism Clinics of North America. 1989; 18(4): 955-76.
• Manaster BJ, et al. Musculoskeletal Imaging: the Requisites. Second Edition. Mosby, 2002.
• Weissleder R, et al. Primer of Diagnostic Imaging. Second Edition. Mosby, 1997.