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Rugger-jersey spine

Case contributed by Martin Ruiz
Diagnosis certain

Presentation

Pre-employment medical examination. Asymptomatic. [Internationally, some employers ask for pre-employment lumbar spine radiographs for manual jobs].

Patient Data

Age: 24
Gender: Male
x-ray

Rugger-jersey sign

Case Discussion

Rugger-jersey spine describes the prominent subendplate densities at multiple contiguous levels to produce an alternating dense-lucent-dense appearance. This simulates the transverse bands of a rugby jersey.

This term and pattern is distinctive for hyperparathyroidism

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