Case ReportInternational Journal of Research in Orthopaedics
Publication: Localised melorheostosis
Int J Res Orthop. 2017;3(3):635-638.DOI10.18203/issn.2455-4510.IntJResOrthop20171915
Abstract
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.
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Affiliations
- Department of Orthopaedics, 1St Stephen’s Hospital, Tis Hazari, New Delhi, India
- Fellow in Arthoplasty, Sunshine Hospital, Secunderbad, Telangana, India
- Subbaiah Institute of Medical Sciences, Purle, Shivamogga, Karnataka, India