Renale Osteodystrophie

Renal
osteodystrophy: A 57-year-old female with end-stage renal disease which results in prominent subchondral resorption resulting in widening of bilateral sacroiliac joints along the iliac surface on AP view of the pelvis (solid arrows). Soft tissue calcifications adjacent to right greater trochanter (dashed arrows), vascular calcification adjacent to the left femoral head (double dashed arrows), and a right femoral dialysis catheter.
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Rugger jersey
spine (hyperparathyroidism) • Renal osteodystrophy - Ganzer Fall bei Radiopaedia
Shah, V. Renal osteodystrophy. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-57722 • CC by-nc-sa 3.0 (modified)
Rugger jersey
spine (hyperparathyroidism) • Renal osteodystrophy - Ganzer Fall bei Radiopaedia
Abdrabou, A. Renal osteodystrophy. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-35418 • CC by-nc-sa 3.0 (modified)
Calcinosis in
chronic renal disease. Anterior neck and chest SPEC-CT imaging after IV Technetium 99 sestamibi administration shows increased activity of parathyroid glands in addition to normal physiologic activity of the parotid glands, submandibular glands, liver, and myocardium.
www.eurorad.org • CC by-nc-sa-4.0
Renal
osteodystrophy: AP view of the pelvis (a) in a 26-year-old female with secondary hyperparathyroidism that results in multiple, circumscribed, and expanded lucent areas compatible with brown tumors. Associated fracture deformity of the right femoral head and generalized demineralization.
Wikipedia • CC BY 3.0
X-ray of
periosteal reaction in renal osteodystrophy. The subject is a 33-year-old male with end-stage renal disease and tertiary hyperparathyroidism. There is a thin periosteal reaction and cortical tunneling on the femur.
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The clothes
maketh the sign. Bone scintigram in a 25-year-old man with renal failure and arthralgia. A frontal planar image (a) and magnified view (b) demonstrates expansion of the manubrium and sternum without manubriosternal joint expansion resulting in a necktie appearance. In addition, a prominent calvarium and faint visualization of the kidneys are also supportive of a diagnosis of renal osteodystrophy
insightsimaging.springeropen.com • Open Access
Radiological
review of skull lesions. Renal osteodystrophy and osteopenia. Patient 1: Axial (a) and coronal (b) head CT images depict granular de-ossification with a “pepper pot” appearance (thick arrows) and loss of distinction of the inner and outer tables (dashed arrows) in this patient with renal osteodystrophy. Patient 2: Axial (c) and coronal (d) head CT images show demineralisation of the skull (arrowheads) in this patient with osteopenia. Note the relative preservation of the distinction of the inner and outer tables in osteopenia
insightsimaging.springeropen.com • Open Access
Renal
osteodystrophy: Prominent trabecular pattern secondary to generalized trabecular resorption in a 32-year-old male with end-stage renal disease. Sclerotic bands adjacent to the vertebral endplates result in subtle “rugger jersey spine” secondary to the excess osteoid.
Wikipedia • CC BY 3.0
Generalized
increased bone density in adults • Renal osteodystrophy and brown tumors - Ganzer Fall bei Radiopaedia
Gaillard, F. Renal osteodystrophy and brown tumors. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-36356 • CC by-nc-sa 3.0 (modified)
Generalized
increased bone density in adults • Renal osteodystrophy - Ganzer Fall bei Radiopaedia
Salam, H. Renal osteodystrophy. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-10147 • CC by-nc-sa 3.0 (modified)
Calcinosis in
chronic renal disease. Plain radiograph of left acromioclavicular calcinosis and osseous erosion of the clavicle, glenoid, and scapula.
www.eurorad.org • CC by-nc-sa-4.0
Calcinosis in
chronic renal disease. Prominent left femoral artery calcification.
www.eurorad.org • CC by-nc-sa-4.0
Calcinosis in
chronic renal disease. CT of upper extremity without contrast (coronal) shows calcification of the soft tissues around the acromioclavicular joint with distal clavicle erosion.
www.eurorad.org • CC by-nc-sa-4.0
Calcinosis in
chronic renal disease. CT upper extremity without contrast (coronal) shows calcification of the soft tissues adjacent to the acromioclavicular joint.
www.eurorad.org • CC by-nc-sa-4.0
Renal
osteodystrophy • Sacroiliac erosions and subperiosteal resorption from renal osteodystrophy - Ganzer Fall bei Radiopaedia
Hacking C, Sacroiliac erosions and subperiosteal resorption from renal osteodystrophy. Case study, Radiopaedia.org (Accessed on 29 Apr 2024) https://doi.org/10.53347/rID-180082 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

Renal osteodystrophy (ROD), also known as uremic osteopathy, is a constellation of musculoskeletal abnormalities that occur in patients with chronic renal failure, due to concurrent and superimposed:

  • osteomalacia (adults)/rickets (children)
  • secondary hyperparathyroidism: abnormal calcium and phosphate metabolism
    • bone resorption
    • osteosclerosis
    • soft tissue and vascular calcifications
    • brown tumors
  • aluminum intoxication, e.g. if the patient is on dialysis

Radiographic features

Imaging findings are many and varied:

Differential diagnosis

General imaging differential considerations include

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Renale Osteodystrophie:
synoviale
Osteochondromatose
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primärer
Hyperparathyreoidismus
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Multiples
Myelom
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Pigmentierte
villonoduläre Synovialitis
insightsimaging.springeropen.com • CC-by-4.0
subperiostale
Knochenresorption
ped-rheum.biomedcentral.com • CC-by-4.0
Ostitis
fibrosa cystica
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