Deshmukh Nikita S
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Cureus. 2024 Jun 8;16(6):e61950. doi: 10.7759/cureus.61950. eCollection 2024 Jun.
Melorheostosis is a noncancerous bone disease characterized by abnormal bone and soft tissue growth. Despite being identified almost a century ago, there are still many unknown aspects surrounding this condition. It can often be an incidental discovery, with patients experiencing associated pain and deformities. Diagnosis typically relies on X-rays, although not all cases exhibit the classic candle wax appearance. A new imaging sign known as the "dumpling on a plate sign" has been proposed for flat bones for both MRI and CT scans. A biopsy may be necessary in cases of uncertainty, as there is not a definitive histological feature. It is not uncommon for melorheostosis to be linked with other conditions, and a collaborative approach involving a multidisciplinary team should be considered. This condition should be considered in the differential diagnosis of sclerotic bone conditions. Management is generally aimed at symptom relief, either through conservative measures or surgical intervention.
肢骨纹状肥大是一种非癌性骨病,其特征为骨骼和软组织异常生长。尽管这种疾病在近一个世纪前就已被发现,但围绕它仍存在许多未知因素。它常常是偶然发现的,患者会伴有相关疼痛和畸形。诊断通常依靠X射线,不过并非所有病例都呈现出典型的蜡泪样外观。对于扁平骨,无论是MRI还是CT扫描,都有人提出一种名为“盘上饺子征”的新影像征象。在诊断不明确的情况下可能需要进行活检,因为没有明确的组织学特征。肢骨纹状肥大与其他病症相关并不罕见,应考虑采用多学科团队协作的方法。在硬化性骨病的鉴别诊断中应考虑到这种病症。治疗通常旨在缓解症状,可通过保守措施或手术干预来实现。