Hook-like osteophytes

Hook-like osteophytes describe overhanging bone spurs seen at the metacarpal heads, usually at the radial aspect, and characteristically seen with hemochromatosis, although may be seen in other conditions ¹.

Differential diagnosis

Hook-like osteophytes are seen in:

• hemochromatosis: characteristic

Less common ^2-4:

• calcium pyrophosphate dihydrate deposition disease (CPPD)
• osteoarthritis
• rheumatoid arthritis