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Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty.

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Presentation on theme: "Vascular Malformations Corresponding to Sclerotomes in Multifocal Melorheostosis: Painful Hip and Knee Contractures Treated with Total Joint Arthroplasty."— Presentation transcript:

1 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 Connect Volume 5(2):e40 May 13, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

2 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.

3 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.

4 Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40 ©2015 by The Journal of Bone and Joint Surgery, Inc.

5 Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40 ©2015 by The Journal of Bone and Joint Surgery, Inc.

6 Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40 ©2015 by The Journal of Bone and Joint Surgery, Inc.

7 Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40 ©2015 by The Journal of Bone and Joint Surgery, Inc.

8 Sung-Jin Shin et al. JBJS Case Connect 2015;5:e40 ©2015 by The Journal of Bone and Joint Surgery, Inc.

9 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.

10 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.

11 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.

12 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.


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