Melorheostosis

Case contributed by Dr Robert Foley

Presentation

Fall down a few stairs. Injury to right foot. Pain to lateral aspect. Bruising evident ?#

Patient Data

Age: 60 years
Gender: Male
X-ray

No acute fracture. Normal alignment of the Lisfranc joint.

There is a small bone fragment projected medial to the head of the fifth metatarsal, which likely represents an old injury. 

Incidental note is made of melorheostosis in the distal shaft of the third metatarsal.

Case Discussion

This case illustrates an incidental finding of melorheostosis in a patient with a traumatic presentation. This finding may be worth highlighting to the clinicians to avoid confusion for another pathology. 

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Case information

rID: 80687
Published: 30th Jul 2020
Last edited: 5th Aug 2020
Inclusion in quiz mode: Included
Institution: University Hospitals Bristol

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