Excerpt
A 49-year-old Caucasian woman with a history of melorheostosis since childhood presented with decreased range of motion and chronic pain in her left leg and knee after a fall that injured her left knee. Examination was notable for evidence of skin tightening over the knee and lower leg with no frank sclerodermatous changes. There was also evidence of bony indurations as well as venous varicosities over the left lower leg. Left knee examination revealed flexion contracture of about 15 degrees. Plain radiographs of the knee were taken that revealed “flowing” hyperostosis of the cortex, resembling wax dripping down a candle…






