Licked candy stick - rheumatoid arthritis

Case contributed by Dr Ian Bickle

Presentation

Long standing rhematoid arthritis. No previous foot surgery of trauma.

Patient Data

Age: 59
Gender: Female
Modality: X-ray

The distal 5th metastarsal has a tapered appearance towards the MTP joint.

The degree of bone resorption can be appreciated by comparison against the normal adjacent metatarsals.

Modality: Diagram

A illustrative conceptualisation of how the sign for these radiological appearances arise.

Case Discussion

The licked candy stick appearance refers to tapering of the tips of the metacarpal bones, metatarsal bones, phalanges or clavicles and is typically associated with chronic rheumatological conditions:

The appearances result from bone resorption/destruction resembling the appearance of a candy stick that has been slowly deformed from licking.

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Case Information

rID: 34600
Case created: 28th Feb 2015
Last edited: 11th Sep 2015
Tag: rdgh
Inclusion in quiz mode: Included

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