Unusual Cause of Knee Pain; Hereditary Multiple Exostosis

Jae-Bum Jun; Soon-Young Song

doi:10.4078/jkra.2009.16.3.258

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Jun and Song: Unusual Cause of Knee Pain; Hereditary Multiple Exostosis

Original Article

J Korean Rheum Assoc 2009;16(3):258-259.

Published online: 20 September 2009

DOI: https://doi.org/10.4078/jkra.2009.16.3.258

Unusual Cause of Knee Pain; Hereditary Multiple Exostosis

Jae-Bum Jun¹, Soon-Young Song²

¹Department of Rheumatology, The Hospital for Rheumatic Diseases, Seoul, Korea

²Department of Radiology, Hanyang University Medical Center, Seoul, Korea

Received 15 August 2009 Revised 11 September 2009 Accepted 16 September 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. Pannier S, Legeai-Mallet L. Hereditary multiple exostosis and enchondromatosis. Best Pract Res Clin Rheumatol. 2008; 22:45–54.

2. Schmale GA, Conrad EU, Raskind WH. The natural history of hereditary multiple exostoses. J Bone Joint Surg Am. 1994; 76:986–92.

3. Francannet C, Cohen-Tanugi A, Le Merrer M, Mu-nnich A, Bonaventure J, Legeai-Mallet L. Genotype-phenotype correlation in hereditary multiple exostoses. J Med Genet. 2001; 38:430–4.

4. Wuyts W, Van Hul W. Molecular basis of multiple exostoses: mutations in the EXT1 and EXT2 genes. Hum Mutat. 2000; 15:220–7.

5. Al-Hadidy AM, Al-Smady MM, Haroun AA, Hamamy HA, Ghoul SM, Shennak AO. Hereditary multiple exostoses with pseudoaneurysm. Cardiovasc Intervent Radiol. 2007; 30:537–40.

Fig. 1.

Radiographies of both knees.

Fig. 2.

CT angiography of lower extremities. Anterior (A) and posterior (B) views of volume rendering images show multiple osteochondromas about knees and ankles of both lower legs.

Fig. 3.

CT angiography of lower extremities. On volume rendering images (A, B), proximal segment of the right anterior tibial artery courses around an osteochondroma (arrow) arising from proximal fibula. Curved MPR image (C) shows angulation of the anterior tibial artery (arrow) caused by an osteochondroma.

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