Surgical treatment of progressive melorheostosis worsening over 19 years: A case report

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2024-10-24 DOI:10.1016/j.knee.2024.10.001

Ziyang Dong , Yang Li , Feng Li , Hua Tian

引用次数: 0

Abstract

Background

Melorheostosis is a relatively rare disease, which may cause chronic pain, soft tissue mass and restricted range of motion. Diagnosis and treatment of melorheostosis remains challenging.

Case report

We describe a patient with sclerotic bone involving the left acetabulum, femur, tibia, and talus. Over 19 years this patient showed slow progression of disease. The bone mass in the right popliteal region resulted in limitation of knee motion. Comprehensive management including physical therapy, medications and surgeries were adopted to obtain a full range of motion and no recurrence for 2 years.

Discussion

Accurate diagnosis and adequate treatments are critical to melorheostosis patients. Resection of redundant calcified mass is an effective method to treat severe limitation of range of motion associated with knee melorheostosis.

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对 19 年来不断恶化的进行性黑变病进行手术治疗：病例报告

背景介绍骨化性骨质疏松症是一种相对罕见的疾病，可导致慢性疼痛、软组织肿块和活动范围受限。黑骨症的诊断和治疗仍具有挑战性：病例报告：我们描述了一名左侧髋臼、股骨、胫骨和距骨骨质硬化的患者。19 年来，该患者的病情发展缓慢。右侧腘窝部位的骨块导致膝关节活动受限。经过物理治疗、药物治疗和手术治疗等综合治疗后，患者的膝关节活动范围得以恢复，且两年来未再复发：讨论：准确的诊断和适当的治疗对骨质疏松症患者至关重要。讨论：准确诊断和适当治疗对膝关节骨质疏松症患者至关重要，切除多余的钙化块是治疗膝关节骨质疏松症活动范围严重受限的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.