Citation, DOI, disclosures and article data
Citation:
Jones J, Chieng R, Vadera S, et al. Subperiosteal bone resorption. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-10547
Subperiosteal bone resorption describes bone destruction below the periosteum secondary to osteoclastic activity, resulting in an irregular, lace-like cortical appearance 4,6. It is the most consistent and specific finding of hyperparathyroidism and is virtually pathognomonic of the condition 5.
Radiographic features
While the terminal tufts of the phalanges are the most commonly involved bones, many others are involved:
- tufts of the distal phalanges
- radial aspect of index and middle finger middle phalanges; erosion begins in the proximal metaphyseal region
- bandlike zone resorption of the base of the terminal tuft
- distal end of the clavicles
- medial tibial plateau
- medial humeral neck
- distal ulna
- superior and inferior margins of the ribs (midclavicular line)
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lamina dura of skull and teeth
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1. Chew FS. Skeletal Radiology. Lippincott Williams & Wilkins. (2010) ISBN:1608317064. Read it at Google Books - Find it at Amazon
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2. Helms CA. Fundamentals of Skeletal Radiology, 4e (Fundamentals of Radiology). Saunders. ISBN:1455751545. Read it at Google Books - Find it at Amazon
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3. Veena C, Kumar GA, Niranjan K. Diagnostic Radiology: Musculoskeletal and Breast Imaging (Aiims-Mamc-Pgi Imaging). Jaypee Brothers Medical Publishers (p) Ltd. ISBN:B00FF5VQ94. Read it at Google Books - Find it at Amazon
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4. Bennett J, Suliburk J, Morón F. Osseous Manifestations of Primary Hyperparathyroidism: Imaging Findings. Int J Endocrinol. 2020;2020:1-10. doi:10.1155/2020/3146535 - Pubmed
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5.Rothschild B. The Bare Bones Appearance of Hyperparathyroidism: Distinguishing Subperiosteal Bone Resorption from Periosteal Reaction. Intl J of Osteoarchaeology. 2021;32(1):276-82. doi:10.1002/oa.3063
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6. Meema H & Oreopoulos D. The Mode of Progression of Subperiosteal Resorption in the Hyperparathyroidism of Chronic Renal Failure. Skeletal Radiol. 1983;10(3):157-60. doi:10.1007/bf00357770 - Pubmed
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