please help! Another case! ossification in femur and iliopsoas bursae

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Hi，dear ocaders，
Here’s another case. The orthopedist worried a malignant osteoblastic tumor due to the high uptake on bone scan.
I think the leison in femur is melorheostosis，but how to explain the cloddy ossification in  iliopsoas bursae. The orthopedist also want to know the soft tissue ossification is synovial chondromatosis or not. I believe this two manifestation result from the same disease.  “myositis ossificans-like”soft tissue ossifications was reproted in the melorheostosis literature. But I am still not confident about the dignosis. espeically high uptake on bone scan. need your help. Thanks!

Xianjing

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2 thoughts on “please help! Another case! ossification in femur and iliopsoas bursae”

  1. bjobke

    I agree and would call it ‘mixed connective tissue disorder’, melorrheostosis being part of this.

  2. avneesh.chhabra

    Here are a few images from one of my old articles- Melorosteosis- similar case

    Avneesh Chhabra, M.D. M.B.A.

    Professor Radiology & Orthopedic Surgery

    Chief, Division of Musculoskeletal Radiology

    UT Southwestern Medical Center, Dallas, Tx

    5373 Harry Hines Blvd.

    Dallas, Tx-75390-9178

    Office: 214-648-2122

    avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

    http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>​

    ________________________________
    Sent: Wednesday, October 13, 2021 11:06 AM

    EXTERNAL MAIL

    Hi，dear ocaders，
    Here’s another case. The orthopedist worried a malignant osteoblastic tumor due to the high uptake on bone scan.
    I think the leison in femur is melorheostosis，but how to explain the cloddy ossification in iliopsoas bursae. The orthopedist also want to know the soft tissue ossification is synovial chondromatosis or not. I believe this two manifestation result from the same disease. “myositis ossificans-like”soft tissue ossifications was reproted in the melorheostosis literature. But I am still not confident about the dignosis. espeically high uptake on bone scan. need your help. Thanks!

    Xianjing
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