Distal clavicular erosion (differential)
Distal
clavicular erosion (differential) • Bilateral distal clavicular erosion - Ganzer Fall bei Radiopaedia
Rheumatoid
arthritis (musculoskeletal manifestations) • Rheumatoid arthritis: distal clavicle resorption - Ganzer Fall bei Radiopaedia
Distal
clavicular erosion (differential) • Post-traumatic distal clavicle osteolysis - Ganzer Fall bei Radiopaedia
Osteolysis of
distal clavicle (mnemonic) • Primary hyperparathyroidism with brown tumor - Ganzer Fall bei Radiopaedia
Distal
clavicular erosion (differential) • Distal clavicle resorption - Ganzer Fall bei Radiopaedia
Psoriatic
arthritis • Osteolysis of the lateral clavicle - psoriasis - Ganzer Fall bei Radiopaedia
Distal
clavicular erosion (differential) • Scapular and clavicular multiple myeloma - Ganzer Fall bei Radiopaedia
Rib notching
• Hyperparathyroidism - Ganzer Fall bei Radiopaedia
Erosion or absence of the distal ends of the clavicles may be seen in a wide range of conditions.
Differential diagnosis
Bilateral erosions
- atraumatic distal clavicular osteolysis: due to repetitive microtrauma; classically described in weightlifters, but can affect anyone performing repetitive overhead lifting and carrying
- hyperparathyroidism
- subchondral bone resorption; usually symmetric with osteopenia, abnormal trabecular pattern
- the acromion is normal, but the sternoclavicular joint may be affected
- rheumatoid arthritis
- bilateral or unilateral changes with soft tissue swelling, subchondral osteoporosis and erosion of the outer third of the clavicle
- acromial erosions may occur later in the disease process
- scleroderma
- psoriatic arthropathy
- cleidocranial dysostosis
- pyknodysostosis (rare)
- progeria (rare)
Unilateral erosion
- rheumatoid arthritis
- post-traumatic distal clavicular osteolysis
- myeloma
- metastases
- osteomyelitis
See also
- mnemonic (SHIRT Pocket)
