Melorheostosis

Case contributed by Momen Mahmoud
Diagnosis almost certain

Presentation

Right wrist pain

Patient Data

Age: 35 years
Gender: Male
x-ray

Plain radiograph right wrist showed sclerosis of distal ulna involving one side with characteristic “dripping candle wax pattern”.

Case Discussion

A 35-year-old male attended the Orthopedics Department with right wrist pain after a minor trauma. He was previously fit and well with no pre-existing problems. On examination, the right wrist was locally tender.

The X-ray showed no acute bony injury.  However, distal ulna showing incidental focal hyperostosis,  The radiographical features were typical of melorheostosis

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