Melorheostosis

Discussion:

Melorheostosis is a hyperostosis commonly affecting the long bones in a sclerotome distribution. The dripping candle wax sign is classic for melorheostosis and describes the thickened and irregular cortex. This bone dysplasia is usually asymptomatic and seen incidentally on radiographs, as in this patient who has been followed up for knee osteoarthritis.

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