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CASE REPORT
Year : 2012  |  Volume : 1  |  Issue : 3  |  Page : 183-185

Melorheostosis in young adult: A diagnostic dilemma


1 Department of Orthopaedics, Grant Medical College, Sir J.J. Group of Hospitals, Mumbai, India
2 Department of Medicine, Grant Medical College, Sir J.J. Group of Hospitals, Mumbai, India
3 Department of Orthopaedics, Civil Hospital, Thane, Maharashtra, India
4 Department of Orthopaedics, K.E.M Hospital and Maharashtra University of Health Sciences, Nashik, India

Correspondence Address:
Tushar N Rathod
Department of Orthopaedics, Grant Medical College, Sir J.J. Group of Hospitals, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.105084

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Melorheostosis is one of noninheritable developmental mesenchymal dysplastic condition, included in sclerosing bone disorders. It was described by Léri and Joanny as "hyperostose en coulee" i.e. hyperostosis resembling flowing candle wax. It follows a sclerotomal pattern and is usually monomelic though single bone or multiple bone of same limb may be affected. This is rare case report of middle aged man who presented with intermittent episodes of pain and swelling around ankle after a episode of trauma with radiological features suggestive of sclerotic lesions involving tibia, tarsals and metatarsals, suggesting activation of quiescent lesions symptomatically after trauma. Thus this article highlights possibility of keeping diagnosis of Melorheostosis in mind while dealing with such type of case and avoid unnecessary intervention to address radiological lesion.


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