Rugger jersey spine

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Low back pain. End stage renal failure. No trauma.

Patient Data

Age: 55 years
Gender: Male
x-ray

Alternating bands of sclerosis and lucency throughout the lumbar spine.

The trabeculation is also coarse in the visualized bone of the spine and pelvis.

Annotated image

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.

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