eMedicine Specialties > Radiology > Musculoskeletal
Hypertrophic Osteoarthropathy: Multimedia
Updated: Jul 23, 2008
Multimedia
 | Media file 1: Radiograph of both hands in a 42-year-old man with a family history of primary hypertrophic osteoarthropathy who had coarsened facial features and thickness of the scalp. Note the soft tissue clubbing and acro-osteolysis of the terminal phalanges. |
 | Media file 2: Macroradiograph of the left hand in a patient known to have long-standing bronchiectasis shows extensive lamellar periosteal new bone formation around the shafts of the distal radius, ulna, metacarpals, and proximal phalanges. |
 | Media file 3: Radiograph in a patient with long-standing bronchiectasis (same patient as in Image 2 in Multimedia) shows extensive lamellar periosteal reaction around the lower parts of the femora. |
 | Media file 4: A 53-year-old male smoker presented with lower-limb pain around the hips, knees, and ankles. Chest radiograph was obtained as a part of the workup and demonstrates an opacity in the left apical region (arrow) suggestive of a bronchial neoplasm. Results of percutaneous needle biopsy confirmed a squamous carcinoma (see also Images 5-6 in Multimedia). |
 | Media file 5: Radiograph in a 53-year-old male smoker with lower-limb pain around the hips, knees, and ankles (same patient as in Images 4 and 6 in Multimedia) shows a subtle periosteal reaction around the upper parts of the femora on the medial aspects. |
 | Media file 6: Anteroposterior radiograph of the right ankle in a 53-year-old male smoker with lower-limb pain around the hips, knees, and ankles (same patient as in Images 4-5 in Multimedia) shows lamellar periosteal new bone formation around the lower shafts of the tibia and fibula. |
 | Media file 7: Radiograph in a 32-year-old woman treated for Graves disease (thyrotoxicosis) who presented with a vague discomfort in the hands. Radiograph shows a mixture of hair-on-end and lamellar periosteal reaction around the distal shafts of the second metacarpal bones caused by thyroid acropachy. |
 | Media file 8: Differential diagnosis. Radiograph of the lower legs in a patient presenting with infected ulceration of the right lower leg caused by venous insufficiency. Note the extensive lamellar periosteal new bone around the shafts of the tibia and fibula. |
 | Media file 9: Differential diagnosis. Lateral radiograph of the tibia and fibula in a patient with chronic venous insufficiency shows periosteal new bone formation around the tibia and fibula. Note the arterial and venous calcifications. |
 | Media file 10: Differential diagnosis. Anteroposterior radiograph of the femur in an athlete with a previous history of trauma to the thigh shows a traumatic periostitis of the mid femur. Note the calcific myositis. |
 | Media file 11: Differential diagnosis. Radiograph of the arm in a 3-month-old male infant presenting with fever and irritability shows massive periosteal new bone formation around the humerus, radius, and ulna associated with infantile cortical hyperostosis (Caffey disease). Note the sparing of the proximal phalanges. |
 | Media file 12: Differential diagnosis. Radionuclide scans show the typical appearance of secondary hypertrophic osteoarthropathy caused by a bronchogenic carcinoma. |
More on Hypertrophic Osteoarthropathy |
| Overview: Hypertrophic Osteoarthropathy |
| Imaging: Hypertrophic Osteoarthropathy |
| Follow-up: Hypertrophic Osteoarthropathy |
 Multimedia: Hypertrophic Osteoarthropathy |
| References |
| Further Reading |
| « Previous Page |
References
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Keywords
hypertrophic osteoarthropathy, primary hypertrophic osteoarthropathy, hypertrophic pulmonary osteoarthropathy, pachydermoperiostosis, secondary hypertrophic osteoarthropathy, HOA, HPOA, primary HOA, secondary HOA, idiopathic hypertrophic osteoarthropathy, generalized hyperostosis with pachydermia, idiopathic familial generalized osteophytosis, Touraine-Solente-Gole syndrome, periostitis, periosteal response, pachydermia, cutis vertices gyrata
