Presentation
Low back pain. End stage renal failure. No trauma.
Patient Data
Age: 55 years
Gender: Male
From the case:
Rugger jersey spine



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Alternating bands of sclerosis and lucency throughout the lumbar spine.
The trabeculation is also coarse in the visualised bone of the spine and pelvis.
From the case:
Rugger jersey spine
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The origins of this radiological sign are clearly illustrated.
The bands or hoops of a traditional rubgy shirt replicated in the bony changes of the spine.
Case Discussion
Classical radiological appearances of a rugger jersey spine.
These appearances occur in hyperparathyroidism - in the majority of cases this is secondary hyperparathyroidism in those with long term renal failure.