Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(04): 504-506
DOI: 10.4103/ijri.IJRI_189_20
Case Report

A rare case of melorheostosis with intra-articular extension causing medial patellar impingement

Nilesh N Haran
Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, Maharashtra
,
Ameya S Kawthalkar
Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, Maharashtra
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
   Permissions and Reprints

Abstract

Melorheostosis is an uncommon mesenchymal dysplasia manifesting as regions of sclerosing bone with a characteristic flowing candle wax appearance. We describe here a rare presentation of melhoreostosis with the intra-articular extension of the disease in the knee joint and causing medial patellar impingement.

Keywords

Computed tomography - magnetic resonance imaging - medial patellar impingement - melorheostosis - radiography


Publication History

Received: 21 March 2020

Accepted: 01 September 2020

Article published online:
14 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Leri A, Joanny J. Une affection non decrite des os hyperostose “encoulee” surtoute la longeur d’un member ou “melorheostose”. Bull Memoires Soc Med Hopitaux Paris 1922; 46: 1141-5
    Google Scholar
  • 2 Resnick D. Diagnosis of Bone and Joint Disorders. 3rd ed. Philadelphia, PA: WB Saunders; 1995: 4410-3
    Google Scholar
  • 3 Hellemans J, Preobrazhenska O, Willaert A, Debeer P, Verdonk PC, Costa T. et al. Loss-of-function mutations in LEMD3 result in osteopoikilosis, Buschke-Ollendorff syndrome and melorheostosis. Nat Genet 2004; 36: 1213-8
    CrossrefPubMedGoogle Scholar
  • 4 Kalbermatten NT, Vock P, Rüfenacht D, Anderson SE. Progressive melorheostosis in the peripheral and axial skeleton with associated vascular malformations: Imaging findings over three decades. Skeletal Radiol 2001; 30: 48-52
    CrossrefPubMedGoogle Scholar
  • 5 Suresh S, Muthukumar T, Saifuddin A. Classical and unusual imaging appearances of melorheostosis. Clin Radiol 2010; 65: 593-600
    CrossrefPubMedGoogle Scholar
  • 6 Yoon J, Al Shafai L, Nahal A, Turcotte RE, Martin MH. Melorheostosis of the sacrum causing acute-onset neurological symptoms. Skeletal Radiol 2011; 40: 1369-73
    CrossrefPubMedGoogle Scholar
  • 7 Zeiller SC, Vaccaro AR, Wimberley DW, Albert TJ, Harrop JS, Hilibrand AS. Severe myelopathy resulting from melorheostosis of the cervicothoracic spine. A case report. J Bone Joint Surg Am 2005; 87: 2759-62
    CrossrefPubMedGoogle Scholar
  • 8 Saxena A, Neelakantan A, Jampana R, Sangra M. Melorheostosis causing lumbar radiculopathy: A case report and a review of the literature. Spine J 2013; 13: e27-9
    CrossrefPubMedGoogle Scholar
  • 9 McCarthy M, Mehdian H, Fairbairn KJ, Stevens A. Melorheostosis of the tenth and eleventh thoracic vertebrae crossing the facet joint: A rare cause of back pain. Skeletal Radiol 2004; 33: 283-6
    CrossrefPubMedGoogle Scholar
  • 10 Choi IH, Kim JI, Yoo WJ, Chung CY, Cho TJ. Ilizarov treatment for equinoplanovalgus foot deformity caused by melorheostosis. Clin OrthopRelat Res 2003; 414: 238-41
    CrossrefPubMedGoogle Scholar
  • 11 Wadhwa V, Chhabra A, Samet JD. Melorheostosis mimicking synovial osteochondromatosis. Ann Saudi Med 2014; 34: 547-50
    CrossrefPubMedGoogle Scholar