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4-month-old Female Intact Boxer
Presenting complaint and brief history
Acute onset progressive severe non-weight-bearing with right carpal swelling over the last 24 hours, no known trauma.
Diagnosis
Hides the diagnosis, imaging findings, outcome, take-home points and correlation photos so you can read the images blind.
Metaphyseal osteopathy (hypertrophic osteodystrophy)
Highly suspected
Imaging findings
- A radiolucent band runs parallel to the physis within the distal radial and ulnar metaphyses (double physis sign), and there is increased mineral opacity, particularly surrounding the distal ulnar physis
- Marked swelling of the soft tissues surrounding the carpus
What happened with the patient
Treated medically.
Key take-home points
Metaphyseal osteopathy should be at the top of your differential diagnosis list in a young, large-breed dog with atraumatic lameness and swelling.
Contributed by
- Alexandra Beaulieu
DVM, DVSc, DACVR · MedVet Silicon Valley
2 cases - Oren Ofer
DVM, DVSc, DACVR
52 cases
Educational use only — not clinical advice.
Cite this case
Beaulieu A. Metaphyseal osteopathy (hypertrophic osteodystrophy). Radabase case 0a44463d. Retrieved 2026-11-08 from https://www.radabase.vet/case/0a44463d-0a19-4097-9521-d1d2cc721b44
Also searched as: HOD, metaphyseal dysplasia
Discussion
Questions and observations from colleagues. Never post identifying patient or owner information.
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