Highlights
- •Meloheostosis is a rare bone dysplasia which may also cause associated soft tissue changes.
- •MRI appearance of the soft tissue component is variable and depends on the histologic constituents.
- •This report emphasizes an enhancing soft tissue component which can mimic sarcoma.
- •Knowledge of the variable appearance can prevent misdiagnosis and unnecessary workup.
Abstract
Melorheostosis is a rare non-hereditary sclerosing bone dysplasia which predominantly
affects the appendicular skeleton. Although melorheostosis is typically recognized
as an osseous lesion, associated soft-tissue components have been reported. Advanced
imaging with MRI may allow for more complete evaluation of these soft tissue components;
however, there is little information regarding their MRI characteristics which may
lead to confusion with malignant processes. We present a case of melorheostosis in
a 32-year-old woman with an associated paraarticular enhancing soft tissue mass and
emphasize discriminating this from soft tissue sarcoma.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Une affection non décrite des os hyperostose “en coulée” sur toute la longeur d'un membre ou “melorhéostose”.Bull Mem Soc Med Hop Paris. 1922; 46: 1141-1145
- Sclerosing bone dysplasias—a target-site approach.Skeletal Radiol. 1991; 20: 561-583
- Melorheostosis: a review of 23 cases.Eur Radiol. 2001; 11: 474-479
- Advanced imaging of melorheostosis with emphasis on MRI.Skeletal Radiol. 2001; 30: 447-453
- Melorheostosis with recurrent soft-tissue components: a histologically confirmed case.Skeletal Radiol. 2017; 46: 399-404
- Classical and unusual imaging appearances of melorheostosis.Clin Radiol. 2010; 65: 593-600
- Melorheostosis: case report with radiologic-pathologic correlation.Skeletal Radiol. 2000; 29: 548-552
- Melorheostosis and the sclerotomes: a radiological correlation.Skeletal Radiol. 1979; 4: 57-71
- Melorheostosis with an ossified soft tissue mass: MR features.Skeletal Radiol. 1995; 24: 367-370
- MR appearance of axial melorheostosis.Skeletal Radiol. 1993; 22: 47-48
- Melorheostosis of the axial skeleton with associated fibrolipomatous lesions.Skeletal Radiol. 1982; 9: 41-44
- A unique case of melorheostosis presenting with two radiologically distinct lesions in the shoulder.Case Rep Orthop. 2017; 2017: 9307259
- Melorheostosis and somatic mosaicism.Am J Med Genet. 1995; 58: 199
- Melorheostosis: a rare sclerosing bone dysplasia.Curr Osteoporos Rep. 2017; 15: 335-342
- Melorheostosis. A report of the clinical, roentgenographic, and pathological findings in fourteen cases.J Bone Joint Surg Am. 1968; 50: 1281-1304
- Histogenesis of myositis ossificans.Am J Pathol. 1948; 24: 681-682
Article info
Publication history
Published online: February 02, 2019
Accepted:
February 1,
2019
Received in revised form:
January 27,
2019
Received:
August 24,
2018
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.