Diagnostic Radiology/Musculoskeletal Imaging/Metabolic Basic/Subperiosteal resorption

Subperiosteal resorption is virtually pathognomonic for hyperparathyroidism and is typically seen at the radial aspect of the middle phalanx of the index and middle fingers. Subperiosteal resorption as well as acroosteolysis, the next sign of hyperparathyroidism Fig. 1 Subperiosteal resorption as well as acroosteolysis, the next sign of hyperparathyroidism. Subperiosteal resorption in a child Fig. 2 Subperiosteal resorption in a child Image:Subperi3.jpg Image:Subperi4.jpg Fig. 3 Compare the finger on a patient with hyperparathyroidism, to his normal appearing finger after treatment References Hyperparathyroidism by Adam Myhre, M.D., University of Washington Department of Radiology Cooper KL. Radiology of metabolic bone disease. Endocrinology Metabolism Clinics of North America. 1989; 18(4): 955-76. Manaster BJ, et al. Musculoskeletal Imaging: the Requisites. Second Edition. Mosby, 2002. Weissleder R, et al. Primer of Diagnostic Imaging. Second Edition. Mosby, 1997.