Symptomatic foot shortening with subacute soft tissue swelling of the right tibia

A 13-year-old girl presented with load-dependent pain of the medial part of the right foot. The medical history revealed no trauma and no sports-related injury. X-ray examinations of the foot and lower leg showed subcortical increased sclerosis at the medial part of the tibia, the medial tarsal bone...

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Bibliographic Details
Published in:	Radiologe Vol. 51; no. 12; p. 1047
Main Authors:	Flechsig, P, Müller, S, Weber, M-A
Format:	Journal Article
Language:	German
Published:	Germany 01-12-2011
Subjects:	Adolescent Connective Tissue Diseases - diagnostic imaging Connective Tissue Diseases - etiology Diagnosis, Differential Edema - diagnostic imaging Edema - etiology Female Foot Deformities - diagnostic imaging Foot Deformities - etiology Humans Melorheostosis - complications Melorheostosis - diagnostic imaging Radiography
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Summary:	A 13-year-old girl presented with load-dependent pain of the medial part of the right foot. The medical history revealed no trauma and no sports-related injury. X-ray examinations of the foot and lower leg showed subcortical increased sclerosis at the medial part of the tibia, the medial tarsal bones and of a bunion. Magnetic resonance imaging revealed corresponding findings with localized edema of the bone marrow within the increased subcortical sclerosis but no indications of subcutaneous fibrosis. The constellation is indicative of melorheostosis, a rare benign sclerosis of bones and soft tissue. Subcutaneous fibrosis and limb shortening are also common.
ISSN:	1432-2102