Abstract
Melorheostosis is a rare disease, belonging to the sclerotic bone dysplasia group. Initially described by Leri and Joanny in 1922, its etiology remains unknown. Onset is usually insidious, with deformity of the extremity, pain, limb stiffness, and limitation of motion in the joints. The typical radiographic appearance consists of irregular hyperostotic changes of the cortex, resembling melted wax dripping down one side of a candle. Treatment is usually symptomatic and conservative; however, conservative treatment is unsatisfactory due to functional issues when involving the distal extremity. We report on two cases of melorheostosis with synovial chondromatosis of the foot treated by mass excision.
References
1. Jain VK, Arya RK, Bharadwaj M, Kumar S. Melorheostosis: clinicopathological features, diagnosis, and management. Orthopedics. 2009; 32:512–20.
2. Suresh S, Muthukumar T, Saifuddin A. Classical and unusual imaging appearances of melorheostosis. Clin Radiol. 2010; 65:593–600.
3. Lester CW. Melorheostosis in a prehistoric Alaskan skeleton. J Bone Joint Surg Am. 1967; 49:142–3.
4. Greenspan A, Azouz EM. Bone dysplasia series. Melorheostosis: review and update. Can Assoc Radiol J. 1999; 50:324–30.
5. Moore JJ, de Lorimier AA. Melorheostosis Leri: review of literature and report of a case. Am J Roentgenol Radium Ther. 1933; 29:161–71.
6. Murray RO, McCredie J. Melorheostosis and the sclerotomes: a radiological correlation. Skeletal Radiol. 1979; 4:57–71.
8. Campbell CJ, Papademetriou T, Bonfiglio M. Melorheostosis: a report of the clinical, roentgenographic, and pathological findings in fourteen cases. J Bone Joint Surg Am. 1968; 50:1281–304.