Hereditary multiple exostoses (HME)

Case contributed by Andrew Kirby
Diagnosis certain

Presentation

Known hereditary multiple exostoses. For evaluation of leg lengths and comparison to prior images.

Patient Data

Age: 15 years
Gender: Male

Multiple bilateral osteochondromas (exostoses), pointing away from the adjacent joint.  Widening of the metaphyses and medial inclination of the talar domes. Leg lengths are symmetrical. There was no significant chance when compared with prior imaging.

Case Discussion

Typical findings of hereditary multiple exostoses (HME). Lack of change from prior imaging is reassuring in regard to potential for sarcomatous transformation.

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