Spade phalanx sign (acromegaly)
Last revised by Mostafa Elfeky on 23 Feb 2020
Citation, DOI, disclosures and article data
Citation:
Niknejad M, Elfeky M, Gaillard F, et al. Spade phalanx sign (acromegaly). Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-23435
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rID:
23435
Article created:
15 Jun 2013,
Mohammad Taghi Niknejad ◉
Disclosures:
At the time the article was created Mohammad Taghi Niknejad had no recorded disclosures.
View Mohammad Taghi Niknejad's current disclosures
Last revised:
23 Feb 2020,
Mostafa Elfeky ◉
Disclosures:
At the time the article was last revised Mostafa Elfeky had no recorded disclosures.
View Mostafa Elfeky's current disclosures
Revisions:
8 times, by
6 contributors -
see full revision history and disclosures
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Synonyms:
- Spade phalanx sign of acromegaly
Spade phalanx sign refers to a characteristic distal phalangeal shape in acromegaly.
Radiographic features
Plain radiographs
The terminal phalangeal tufts become hypertrophied and have a "spade appearance".
Other findings on hand radiography of acromegaly include
- joint spaces may be minimally enlarged
- premature osteoarthritis may occur
Differential diagnosis
- acromegaly
- macrodactyly
- normal variant: consider if other hand findings of acromegaly are not present
References
- 1. Dähnert WF. Radiology Review Manual. Lippincott Williams & Wilkins. (2011) ISBN:1609139437. Read it at Google Books - Find it at Amazon
- 2. Jacobson JA, Girish G, Jiang Y et-al. Radiographic evaluation of arthritis: degenerative joint disease and variations. Radiology. 2008;248 (3): 737-47. Radiology (full text) - doi:10.1148/radiol.2483062112 - Pubmed citation
- 3. Killinger Z, Payer J, LazúRová I et-al. Arthropathy in acromegaly. Rheum. Dis. Clin. North Am. 2010;36 (4): 713-20. doi:10.1016/j.rdc.2010.09.004 - Pubmed citation
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