vascular malformations corresponding to sclerotomes in multifocal melorheostosis: painful hip and...

Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee

Contractures Treated with Total Joint Arthroplasty

by Sung-Jin Shin, Uk Nam, Sang-Rim Kim, Hee Joong Kim, Dimitris Dimitriou, Guoan Li, Young-Min Kwon, Harry Rubash, and Kwang Woo Nam

JBJS Case ConnectVolume 5(2):e40

May 13, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Color Doppler ultrasonography showed that the subcutaneous lesions were the vascular-origin lesions.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Teleradiograph of the lower extremities showed dense cortical hyperostosis with a “dripping candle wax” appearance from the left pelvis to the left foot and including the entire left lower

limb.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

The relationship between osseous abnormalities of melorheostosis and the sclerotomal distribution was shown on the bone scintigraphic image.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the hip made at fourteen months after surgery.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Pathological examination revealed marked endosteal sclerosis with thickened and enlarged osseous trabeculae associated with marrow fibrosis (hematoxylin and eosin, ×40 original

magnification).

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior and lateral radiographs of the left knee at thirty-two months after surgery.

Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40

©2015 by The Journal of Bone and Joint Surgery, Inc.