Melorheostosis in children. Clinical features and natural history

D. Younge, D. Drummond, J. Herring, R. L. Cruess

Research output: Contribution to journalArticle

68 Scopus citations

Abstract

Experience in the management of 14 children with melorheostosis has been reviewed. The principal and presenting clinical features were unilateral soft-tissue contractures associated with inequality of limb length. In contrast to the disease in adults, pain occurred infrequently and was never intense. The average interval between the discovery of the clinical features and the correct diagnosis was 6 years. The distinctive radiographic feature in the child was an endosteal pattern of hyperostosis marked by streakiness of the long bones and spotting of the small. This differs from the usual subperiosteal or extracortical pattern of hyperostosis seen in adults. The surgical treatment of the contractures proved difficult and recurrence of the deformity was the rule. Distal ischaemia occurred when the chronically contracted and flexed joint was rapidly extended.

Original languageEnglish (US)
Pages (from-to)415-418
Number of pages4
JournalJournal of Bone and Joint Surgery - Series B
Volume61
Issue number4
StatePublished - Dec 1 1979

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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