The Radiologist Homepage - Spade phalanx sign refers to a characteristic distal phalangeal shape in acromegaly. :) Radiographic features Plain radiographs -The terminal phalangeal tufts become hypertrophied and have a " spade appearance".
![Clinical photograph showing large spade-like hands with broadened wrists. | Download Scientific Diagram Clinical photograph showing large spade-like hands with broadened wrists. | Download Scientific Diagram](https://www.researchgate.net/publication/225280914/figure/fig1/AS:639276127625216@1529426714844/Clinical-photograph-showing-large-spade-like-hands-with-broadened-wrists.png)
Clinical photograph showing large spade-like hands with broadened wrists. | Download Scientific Diagram
![Itebimien Peter on X: "@DrAkhilRaghavan Acromegaly AP radiograph of the hand shows ungal tufting,widening of the bases of distal phalanges,metacarpal osteophytes on radial aspect (metacarpal hooks) and soft tissue hypertrophy. Distal phalanx Itebimien Peter on X: "@DrAkhilRaghavan Acromegaly AP radiograph of the hand shows ungal tufting,widening of the bases of distal phalanges,metacarpal osteophytes on radial aspect (metacarpal hooks) and soft tissue hypertrophy. Distal phalanx](https://pbs.twimg.com/media/F_CEUTMXUAAmBsH.jpg)
Itebimien Peter on X: "@DrAkhilRaghavan Acromegaly AP radiograph of the hand shows ungal tufting,widening of the bases of distal phalanges,metacarpal osteophytes on radial aspect (metacarpal hooks) and soft tissue hypertrophy. Distal phalanx
![Spade-like hands with diffuse palmar keratoderma in the patient (right... | Download Scientific Diagram Spade-like hands with diffuse palmar keratoderma in the patient (right... | Download Scientific Diagram](https://www.researchgate.net/publication/367046314/figure/fig3/AS:11431281112564909@1673462947954/Spade-like-hands-with-diffuse-palmar-keratoderma-in-the-patient-right-upper-photograph.png)