“…It is characterized by hyperostotic linear bone densities and soft tissue contractures and ossification [ 7 ]. So far, 313 and 223 cases have been reported in the international and Chinese literature, respectively [ 5 ]. The reported age range of presentation for melorheostosis is between 1 and 63 years of age [ 8 ], which is consistent with our patient's age.…”
Section: Discussionmentioning
confidence: 99%
“…It is characterized by cortical bone thickening resulting in irregular hyperostosis that appears to flow down the length of the bone [ 4 ]. Radiologically, the appearances are often compared with dripping candle wax, and for this reason, the condition is sometimes referred to as candle disease of the bone [ 5 ]. We present a unique case of melorheostosis presenting with two radiologically distinct lesions in the shoulder joint.…”
Melorheostosis is a rare, nonhereditary, benign, mesenchymal condition of unknown aetiology affecting the bones and surrounding tissues. A male patient complaining of left shoulder pain, swelling, and mildly limited range of motion has an exclusive combination of the classic dripping wax lesion in the scapula and the myositis ossificans-like lesion in the deltoid muscle; this combination is the first to be reported in the shoulder. Both lesions showed typical findings of melorheostosis in radiographs, CT, MRI, and bone scan. This case has a stationary course over the follow-up period, and no specific treatment is needed in due course.
“…It is characterized by hyperostotic linear bone densities and soft tissue contractures and ossification [ 7 ]. So far, 313 and 223 cases have been reported in the international and Chinese literature, respectively [ 5 ]. The reported age range of presentation for melorheostosis is between 1 and 63 years of age [ 8 ], which is consistent with our patient's age.…”
Section: Discussionmentioning
confidence: 99%
“…It is characterized by cortical bone thickening resulting in irregular hyperostosis that appears to flow down the length of the bone [ 4 ]. Radiologically, the appearances are often compared with dripping candle wax, and for this reason, the condition is sometimes referred to as candle disease of the bone [ 5 ]. We present a unique case of melorheostosis presenting with two radiologically distinct lesions in the shoulder joint.…”
Melorheostosis is a rare, nonhereditary, benign, mesenchymal condition of unknown aetiology affecting the bones and surrounding tissues. A male patient complaining of left shoulder pain, swelling, and mildly limited range of motion has an exclusive combination of the classic dripping wax lesion in the scapula and the myositis ossificans-like lesion in the deltoid muscle; this combination is the first to be reported in the shoulder. Both lesions showed typical findings of melorheostosis in radiographs, CT, MRI, and bone scan. This case has a stationary course over the follow-up period, and no specific treatment is needed in due course.
“…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.…”
<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>
“…There is no effective conservative treatment [4,8]. The effect of oral medications, such as NSAIDS, nifedipine, bisphosphonates and pamidronate, was unclear [8,32]. Significant contracture and bone deformity are more likely to require surgeries [4].…”
Section: Discussionmentioning
confidence: 99%
“…Heterotropic bone formation as well as soft tissue calcification may lead to limb shortening in children, range of motion restriction, contracture, chronic pain and disability. Conservative treatment is often ineffective for this condition [8]. Surgeries, such as tendon lengthening, contracture release, excision of hyperostosis and even resurfacing procedure, are often used for managing intractable pain and deformity, in particular, in severe cases [9][10][11][12].…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.