Subperiosteal bone resorption

Last revised by Raymond Chieng on 28 May 2022

Citation, DOI, disclosures and article data

Citation:

Jones J, Chieng R, Vadera S, et al. Subperiosteal bone resorption. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-10547

DOI:

https://doi.org/10.53347/rID-10547

Permalink:

https://radiopaedia.org/articles/10547

rID:

10547

Article created:

21 Aug 2010, Jeremy Jones ◉

Disclosures:

At the time the article was created Jeremy Jones had no recorded disclosures.

View Jeremy Jones's current disclosures

Last revised:

28 May 2022, Raymond Chieng ◉

Disclosures:

At the time the article was last revised Raymond Chieng had no recorded disclosures.

View Raymond Chieng's current disclosures

Revisions:

9 times, by 8 contributors - see full revision history and disclosures

Systems:

Musculoskeletal

Sections:

Gamuts

Tags:

endocrine

Subperiosteal bone resorption describes bone destruction below the periosteum secondary to osteoclastic activity, resulting in an irregular, lace-like cortical appearance ^4,6. It is the most consistent and specific finding of hyperparathyroidism and is virtually pathognomonic of the condition ⁵.

Radiographic features

While the terminal tufts of the phalanges are the most commonly involved bones, many others are involved:

tufts of the distal phalanges
radial aspect of index and middle finger middle phalanges; erosion begins in the proximal metaphyseal region
bandlike zone resorption of the base of the terminal tuft
distal end of the clavicles
medial tibial plateau
medial humeral neck
distal ulna
superior and inferior margins of the ribs (midclavicular line)
lamina dura of skull and teeth