vascular malformations corresponding to sclerotomes in multifocal melorheostosis: painful hip and...
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![Page 1: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/1.jpg)
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.
![Page 2: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/2.jpg)
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.
![Page 3: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/3.jpg)
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.
![Page 4: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/4.jpg)
Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/5.jpg)
Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/6.jpg)
Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/7.jpg)
Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/8.jpg)
Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/9.jpg)
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.
![Page 10: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/10.jpg)
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.
![Page 11: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/11.jpg)
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.
![Page 12: Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649eb25503460f94bb8bcb/html5/thumbnails/12.jpg)
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.