Localised melorheostosis

Authors

  • Sunny Agarwal Department of Orthopaedics, 1St Stephen’s Hospital, Tis Hazari, New Delhi, India
  • Vishesh Khanna Fellow in Arthoplasty, Sunshine Hospital, Secunderbad, Telangana, India
  • Mathew Varghese Department of Orthopaedics, 1St Stephen’s Hospital, Tis Hazari, New Delhi, India
  • Suresh B Subbaiah Institute of Medical Sciences, Purle, Shivamogga, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20171915

Keywords:

Localised melorheostosis, Flowing/dripping candle wax, Bisphosphonates, Zoledronic acid

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.

Author Biography

Suresh B, Subbaiah Institute of Medical Sciences, Purle, Shivamogga, Karnataka, India

Deptatment of Orthopaedics,

Subbaiah instititue of medical science

N.H 13, Holehonnur Road, 

Purle, Shivamogga- 577222

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Published

2017-04-25

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Section

Case Reports