Successful Elbow Contracture Release Secondary to Melorheostosis

Gong, Hyun Sik; Lee, Kyung Hak; Oh, Joo Han; Chung, Jin-Haeng; Baek, Goo Hyun; Chung, Moon Sang

doi:10.2106/jbjs.g.00961

Cited by 17 publications

(13 citation statements)

References 19 publications

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“…Surgical procedures consist of soft-tissue procedures such as tendon lengthening, excision of fibrous and osseous tissue, fasciotomy, capsulotomy, osteotomies and excision of hyperostoses, arthrodesis, and amputation. [1][2][3][4][5]7,8,14,19 When treating limb deformities associated with surgical treatments in melorheostosis patients, recurrences are common. We treated our patient initially with decompression of the hyperostosis which did not improve his symptoms.…”

Section: -4mentioning

confidence: 99%

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Localised melorheostosis

Agarwal¹,

Khanna²,

Varghese³

et al. 2017

Int J Res Orthop

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<p class="abstract"><span lang="EN-IN">Melorheostosis is a sclerosing bone dysplasia of unknown aetiology. Diagnosis is mainly based on a combination of clinical and imaging studies. The classical dripping candle wax picture on plain radiograph is diagnostic. We report a case of localized melorheostosis of a 14 year old boy on daily analgesics for two years for pain relief. Radiographs showed endosteal bone formation like dripping candle wax. Biopsy and decompression of the hyperostosis was done. However biopsy did not relieve his symptoms. Based on literature survey he was given a single infusion of zoledronic acid. This gave dramatic relief in pain.</span></p>

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Section: -4mentioning

confidence: 99%

“…Surgical procedures consist of soft-tissue procedures such as excision of fibrous and osseous tissue, fasciotomy, capsulotomy, osteotomies and excision of hyperostoses, arthrodesis, and amputation. [1][2][3][4][5][6][7] …”

Section: Introductionmentioning

confidence: 99%

Localised melorheostosis

Agarwal¹,

Khanna²,

Varghese³

et al. 2017

Int J Res Orthop

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“…Other nonsurgical treatments have also been used such as physical therapy, manipulations, serial casting, braces, and nerve block, but unfortunately most of these methods are ineffective. Surgical procedures consist of soft-tissue procedures such as tendon lengthening, excision of fibrous and osseous tissue, fasciotomy, capsulotomy, osteotomies, excision of hyperostoses, arthrodesis, contralateral epiphysiodesis, and amputation (1)(2)(3)(4)(5)(6)(39)(40)(41). When treating limb deformities associated with surgical treatments in melorheostosis patients, recurrences are common.…”

Section: Treatmentmentioning

confidence: 99%

Melorheostosis and a review of the literature in China

Zhang

Dai

Yang

et al. 2013

Intractable Rare Dis Res

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“…There are reports of successful release of an elbow contracture secondary to melorheostosis. 8 In children, there is a possibility of presentation with limb length discrepancy, deformity or joint contractures even before any radiographic evidence of bony changes are seen. 9 A recent article reported a 10-year-old boy with a severely deformed foot with metatarsus adductus undergoing osteotomies and bone grafting with a successful outcome.…”

Section: Discussionmentioning

confidence: 99%

Melorheostosis of the ulna

Abdullah

Pang

Mohamed-Haflah

et al. 2011

Journal of the Chinese Medical Association

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Melorheostosis is a rare osteosclerotic bone dysplasia. It is usually characterized by dull and aching pain, reduced joint motion and contractures. Classic radiograph findings are of undulating cortical hyperostosis along the length of the bone, simulating a "dripping candlewax appearance". We report two cases of melorheostosis of the ulna bone, diagnosed 6 years apart in two different females in their early 20s. Both the patients presented with the characteristic features of dull and aching pain in the forearm and were treated conservatively. However, we misdiagnosed the first case as bone malignancy and subjected the patient to a biopsy. For the second case, with hindsight we made the correct diagnosis based only on the classic clinical history and radiographs. We believe that the discussion of a misdiagnosed case of melorheostosis with salient findings may be important for clinicians and orthopedicians in day-to-day clinical practice.

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Successful Elbow Contracture Release Secondary to Melorheostosis

Cited by 17 publications

References 19 publications

Localised melorheostosis

Localised melorheostosis

Melorheostosis and a review of the literature in China

Melorheostosis of the ulna

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