Renal osteodystrophy

Renal osteodystrophy (ROD), also known as uremic osteopathy, is the constellation of musculoskeletal abnormalities that occur in patients with chronic renal failure, due to concurrent and superimposed:

  • osteomalacia (adults)/rickets (children)
  • secondary hyperparathyroidism: abnormal calcium and phosphate metabolism
    • bone resorption
    • osteosclerosis
    • soft tissue and vascular calcifications
    • brown tumors
  • aluminum intoxication, e.g. if the patient is on dialysis

Radiographic features

Imaging findings are many and varied:

Differential diagnosis

General imaging differential considerations include

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Article information

rID: 3935
Synonyms or Alternate Spellings:
  • ROD
  • Renal osteodystrophy (ROD)
  • Uraemic osteopathy
  • Uremic osteopathy

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Cases and figures

  • Case 1: subperiosteal resorption
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  • Case 2: Rugger Jersey Spine
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  • Case 3: Brown tumors
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  • Case 4: brown tumors compressing spinal cord
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  • Case 5
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  • Case 6 : Brown tumors
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  • Case 7
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  • Renal osteodystro...
    Case 8
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  • Case 9: soft tissue and ligament calcification
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  • Case 10: amyloid arthropathy
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  • Case 11: osteosclerosis and multiple lytic lesions of bone resorption
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  • Case 12: salt and pepper skull
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  • Case 13: salt and pepper skull
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  • Case 14
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  • Case 15: rugger jersey spine
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  • Case 16
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  • Case 17: with forearm AVF
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