Musculoskeletal ImagingRibbing's disease
a frequently asymptomatic disorder of the extremities also known as hereditary multiple diaphyseal sclerosis. Some patients may have mild pain or tenderness, however. Radiographic features include osteosclerosis and hyperostosis of tubular bones, usually present asymmetrically (Fig.1).
DR/RB
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a. AP radiograph of the leg demonstrates osteosclerosis and cortical thickening of the tibial diaphysis.
b. Axial T1-weighted MR image demonstrates cortical thickening and replacement of the usually high signal intensity medullary bone by low signal intensity compact bone.
(Courtesy of Arthur Newberg, MD, Newton, MA)
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Ribbing's disease, Fig.1 (a) | | Ribbing's disease, Fig.1 (b) | |