eMedicine Specialties > Radiology > Musculoskeletal
Osteomalacia and Renal Osteodystrophy: Multimedia
Updated: Nov 29, 2007
Multimedia
 | Media file 1: Lateral radiograph of the leg in a child with chronic renal failure reveals anterior bowing of the distal tibia. |
 | Media file 2: Anteroposterior radiograph of the hip in a dialysis patient reveals erosion of a large portion of the medial femoral neck and trochanteric region from amyloid deposition (arrowheads) with a pathologic fracture in the basocervical portion of the femoral neck (arrow). |
 | Media file 3: Coronal T1-weighted MRI of the knee in a renal transplant patient on steroids reveals serpentine hypointensity in the metaphyseal and subchondral regions (black arrows) with secondary chondral collapse of the lateral femoral condyle (white arrow). |
 | Media file 4: Anteroposterior radiograph of the forefoot in a patient with chronic renal failure reveals diffuse osteosclerosis. |
 | Media file 5: Lateral radiograph of the spine in a patient with chronic renal failure reveals characteristic endplate sclerosis (arrows) referred to as rugger-jersey spine. |
 | Media file 6: Oblique radiograph of the hand in a dialysis patient reveals multifocal, large, amorphous calcific deposits (tumoral calcinosis) around the hand and wrist (arrows). |
 | Media file 7: Anteroposterior radiograph of the knee in a patient with chronic renal failure reveals chondrocalcinosis of the meniscal fibrocartilage (white arrow) and articular hyaline cartilage (black arrow). |
 | Media file 8: Oblique radiograph of the wrist in a patient with chronic renal failure reveals chondrocalcinosis of the triangular fibrocartilage (arrow). |
 | Media file 9: Lateral radiograph of the knee in a patient with chronic renal failure reveals calcification of the patellar tendon (arrows). |
 | Media file 10: Anteroposterior radiograph of the fingers in a patient with chronic renal failure reveals calcification of the vasculature (arrows), as well as resorption of the distal tufts (arrowheads). |
 | Media file 11: Anteroposterior radiograph of the finger in a patient with renal failure reveals subperiosteal resorption along the radial aspect of the middle phalanx (arrows), as well as resorption of the distal tuft (arrowheads). |
 | Media file 12: Anteroposterior radiograph of the hand in a patient with chronic renal failure reveals subchondral and subperiosteal bone resorption predominating at the joint margins (arrows), which resembles the erosions of rheumatoid arthritis. |
 | Media file 13: Lateral radiograph of the calvarium reveals punctate trabecular bone resorption that has a salt-and-pepper appearance. |
 | Media file 14: Anteroposterior radiograph of the shoulder in a patient with renal failure reveals subligamentous resorption underlying the clavicular attachment of the coracoclavicular ligament (white arrow) and subchondral erosion of the distal clavicle (black arrow). |
 | Media file 15: Anteroposterior radiograph of the sacroiliac joints reveals subchondral erosion at the articular surface bilaterally (arrows). |
 | Media file 16: Anteroposterior radiograph of the humerus in a patient with chronic renal failure reveals subperiosteal resorption at the proximal medial aspect of the bone (arrow). |
 | Media file 17: Anteroposterior radiograph of the wrist in a child with renal failure reveals cupping and fraying of the metaphysis and irregularity of the epiphyseal margins compatible with renal rickets (arrowheads). The coarsened trabeculae are a feature of osteomalacia (arrows). |
 | Media file 18: Anteroposterior radiograph of the right hemithorax in a child with chronic renal failure and rachitic rosary reveals abnormal widening of the anterior ribs at the costochondral junctions (arrows). |
 | Media file 19: Magnified anteroposterior radiograph of the proximal tibia in a patient with chronic renal failure reveals a Looser fracture (pseudofracture) at the proximal medial tibia (arrow). |
 | Media file 20: Anteroposterior radiograph of the distal forearm in a patient with chronic renal failure reveals an expansile lytic lesion (brown tumor) in the distal ulna (arrows). |
 | Media file 21: A. Lateral radiograph of the spine in a patient with multiple myelomas reveals diffuse osteopenia with no focal lesions. B. Sagittal T1-weighted MRI of the spine in the same patient reveals diffuse marrow replacement (arrows) indicative of diffuse myelomatoid involvement. |
More on Osteomalacia and Renal Osteodystrophy |
| Overview: Osteomalacia and Renal Osteodystrophy |
| Imaging: Osteomalacia and Renal Osteodystrophy |
| Follow-up: Osteomalacia and Renal Osteodystrophy |
 Multimedia: Osteomalacia and Renal Osteodystrophy |
| References |
| « Previous Page |
References
Mankin HJ. Rickets, osteomalacia, and renal osteodystrophy. An update. Orthop Clin North Am. Jan 1990;21(1):81-96. [Medline].
Mankin HJ. Rickets, osteomalacia, and renal osteodystrophy: Part I. J Bone Joint Surg [Am]. 1974;56:101-28.
Mankin HJ. Rickets, osteomalacia, and renal osteodystrophy. Part II. J Bone Joint Surg [Am]. Mar 1974;56(2):352-86. [Medline].
Pitt MJ. Rickets and osteomalacia are still around. Radiol Clin North Am. Jan 1991;29(1):97-118. [Medline].
Bywaters EGL, Dixon A St J, Scott JT. Joint lesions of hyperparathyroidism. Ann Rheum Dis. 1963;22:171-87.
Parfitt AM. The hyperparathyroidism of chronic renal failure: a disorder of growth. Kidney Int. Jul 1997;52(1):3-9. [Medline].
Bhambri R, Naik V, Malhotra N, Taneja S, Rastogi S, Ravishanker U. Changes in bone mineral density following treatment of osteomalacia. J Clin Densitom. Jan-Mar 2006;9(1):120-7. [Medline].
Parfitt AM, Qiu S, Rao DS. The mineralization index--a new approach to the histomorphometric appraisal of osteomalacia. Bone. Jul 2004;35(1):320-5. [Medline].
Hruska KA, Saab G, Mathew S, Lund R. Renal osteodystrophy, phosphate homeostasis, and vascular calcification. Semin Dial. Jul-Aug 2007;20(4):309-15. [Medline].
Annual Data Report: 2007. United States Renal Data System, Minneapolis, Minn. Available at http://www.usrds.org/atlas.htm. Accessed November 29, 2007.
Steinbach HL, Kolb FO, Gilfillan R. A mechanism of the production of pseudofractures in osteomalacia (Milkman's syndrome). Radiology. 1954;62:388-94.
Tigges S, Nance EP, Carpenter WA. Renal osteodystrophy: imaging findings that mimic those of other diseases. AJR Am J Roentgenol. Jul 1995;165(1):143-8. [Medline].
Adams JE. Renal bone disease: radiological investigation. Kidney Int. 1999;56 (Suppl 73):S38-S41.
Buargub MA, Nabulsi MF, Shafeh TA. Prevalence and pattern of renal osteodystrophy in chronic hemodialysis patients: a cross sectional study of 103 patients. Saudi J Kidney Dis Transpl. Sep 2006;17(3):401-7. [Medline].
Kovesdy CP, Ahmadzadeh S, Anderson JE, Kalantar-Zadeh K. Obesity is associated with secondary hyperparathyroidism in men with moderate and severe chronic kidney disease. Clin J Am Soc Nephrol. Sep 2007;2(5):1024-9. [Medline].
Mankin HJ, Mankin CJ. Metabolic bone disease: an update. Instr Course Lect. 2003;52:769-84. [Medline].
Moe S, Drüeke T, Cunningham J, Goodman W, Martin K, Olgaard K. Definition, evaluation, and classification of renal osteodystrophy: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int. Jun 2006;69(11):1945-53. [Medline].
Murphey MD, Sartoris DJ, Quale JL. Musculoskeletal manifestations of chronic renal insufficiency. Radiographics. Mar 1993;13(2):357-79. [Medline].
Pugh DG. Subperiosteal Resorption of bone; A Roentgenologic manifestation of primary hyperparathyroidism and renal osteodystrophy. AJR Am J Roentgenol. 1951;66:577-86.
Reginato AJ, Falasca GF, Pappu R. Musculoskeletal manifestations of osteomalacia: report of 26 cases and literature review. Semin Arthritis Rheum. Apr 1999;28(5):287-304. [Medline].
Resnick D. Abnormalities of bone and soft tissue following renal transplantation. Semin Roentgenol. Oct 1978;13(4):329-40. [Medline].
Rodino MA, Shane E. Osteoporosis after organ transplantation. Am J Med. May 1998;104(5):459-69. [Medline].
Schumock GT, Sprague SM. Clinical and economic burden of fractures in patients with renal osteodystrophy. Clin Nephrol. Apr 2007;67(4):201-8. [Medline].
Schwarz C, Sulzbacher I, Oberbauer R. Diagnosis of renal osteodystrophy. Eur J Clin Invest. Aug 2006;36 Suppl 2:13-22. [Medline].
Shapiro R. Radiologic aspects of renal osteodystrophy. Radiol Clin North Am. Dec 1972;10(3):557-68. [Medline].
Sherrard DJ, Hercz G, Pei Y. The spectrum of bone disease in end-stage renal failure--an evolving disorder. Kidney Int. Feb 1993;43(2):436-42. [Medline].
Steinbach HL, Noetzli M. Roentgen appearance of the skeleton in osteomalacia and rickets. AJR Am J Roentgenol. 1964;91:955.
Weller M, Edeiken J, Hodes PJ. Renal osteodystrophy. Am J Roentgenol Radium Ther Nucl Med. Oct 1968;104(2):354-63. [Medline].
Further Reading
Keywords
osteomalacia, renal osteodystrophy
