← All decks

Radiology

Metabolic Bone Disease

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Metabolic Bone Disease
The first 25 slides, exactly as they appear. The full deck has 75 content slides.

What’s inside

5 sections · 75 slides

  1. 01

    Overview

    • Metabolic bone disease overview

    1 slide

  2. 02

    Diminished bone density

    Osteoporosis, disuse osteoporosis, osteomalacia and rickets

    • Osteoporosis versus osteomalacia
    • The film cannot tell them apart
    • Primary versus secondary osteoporosis
    • Cortical thinning on radiographs
    • Normal metacarpal cortical width
    • Osteoporotic metacarpal cortical narrowing
    • DXA measures bone mineral
    • Managing osteoporosis
    • Disuse osteoporosis
    • How disuse thins bone
    • Disuse osteoporosis of the proximal femur
    • Aggressive osteoporosis mimics a tumor
    • Aggressive osteoporosis mimicking a permeative process
    • Solid versus riddled cortex
    • True versus pseudopermeative process (schematic)
    • True permeative differential
    • Myeloma as a true permeative process
    • Pseudopermeative causes
    • Hemangioma causing a pseudopermeative pattern
    • Radiation change as a pseudopermeative pattern
    • Differential diagnosis of pseudopermeative pattern
    • Osteomalacia and Looser fractures
    • Looser fractures in osteomalacia
    • Rickets in children
    • Rickets with frayed physes and bowing

    25 slides

  3. 03

    Parathyroid disorders

    Hyperparathyroidism, hypoparathyroidism and the pseudohypoparathyroid look-alikes

    • Hyperparathyroidism basics
    • Two forms of hyperparathyroidism
    • Subperiosteal resorption
    • Subperiosteal resorption in hyperparathyroidism
    • Sacroiliac changes in hyperparathyroidism
    • Other HPT findings
    • Rugger jersey spine in hyperparathyroidism
    • Brown tumors in hyperparathyroidism
    • Imaging in metabolic bone disease
    • Hypoparathyroidism
    • Pseudohypoparathyroidism
    • Brachydactyly in pseudohypoparathyroidism
    • Hypoparathyroidism family

    13 slides

  4. 04

    Pituitary and thyroid effects

    Pituitary hyperfunction, thyroid hyperfunction and thyroid hypofunction

    • Pituitary hyperfunction and bone growth
    • Gigantism versus acromegaly
    • Acromegaly on the skeleton
    • Spade tufts in acromegaly
    • Thyroid hyperfunction
    • Thyroid acropachy periostitis
    • Thyroid hypofunction

    7 slides

  5. 05

    Diffuse osteosclerosis (dense bones)

    Renal osteodystrophy through fluorosis — a short, high-yield differential

    • Osteosclerosis overview
    • Differential diagnosis of diffuse bony sclerosis
    • Differential of diffuse osteosclerosis (first five)
    • Differential of diffuse osteosclerosis (last five)
    • Renal osteodystrophy
    • Sickle cell disease
    • Fish vertebrae in sickle cell disease
    • Myelofibrosis
    • Myelofibrosis with splenomegaly
    • Osteopetrosis
    • Diffuse sclerosis in osteopetrosis
    • Sandwich vertebrae in osteopetrosis
    • Pyknodysostosis
    • Pointed sclerotic tufts in pyknodysostosis
    • Metastatic carcinoma
    • Mastocytosis
    • Mastocytosis bone density and bowel folds
    • Paget's disease
    • Paget's disease of the L3 vertebra
    • Paget's disease of the pelvis and femur
    • Paget's three phases
    • Paget's disease phases
    • Paget's disease of the tibia showing all three phases
    • Athletes
    • Fluorosis
    • Summary
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    29 slides