Pediatric Melorheostosis

• Etiology: Mesenchymal dysplasia
• Imaging Radiograph:
  — Changes not usually visible until late adolescence or early adulthood
  — Can be monostotic or polyostotic and tends to be monomelic
  — Predilection for limb long bones and hands and feet
  — Region of bone hyperostosis with dripping wax or flowing candle wax appearance that can be seen to flow across joints
• DDX:
• Complications: Long term can have disability from contractures
• Treatment:
• Clinical: Usually asymptomatic in children

Radiology Cases of Melorheostosis