Diagnostic Radiology/Musculoskeletal Imaging/Metabolic Basic/Subperiosteal resorption

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[edit] Definition

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.


File:Subperi1.jpg

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


File:Subperi2.jpg

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

[edit] 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.
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