Multiple hereditary exostoses

Case contributed by Tom Elswood
Diagnosis certain

Presentation

Patient with a known condition presents on two separate occasions with knee and ankle pain

Patient Data

Age: 20 years
Gender: Male
x-ray

Frontal and lateral views of the right knee and right ankle, from two separate presentations.

Multiple metaphyseal and peripheral diaphyseal osteochondromata in the femur, tibia and fibula. No fracture. No features of malignant transformation.

The femur and tibia also demonstrate Erlenmeyer flask deformities.

Distal tibia also demonstrates an incidental, benign enostosis.

Case Discussion

This patient presented with knee pain and, to exclude potential chrondrosarcomatous transformation of an osteochondroma cartilage cap, an MRI of the knee was advised.

Multiple hereditary exostoses (MHE) (a.k.a. diaphyseal aclasia) is a recognized cause of Erlenmeyer flask deformity.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.