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Antero-posterior and lateral plain radiographs of right elbow.
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Plain radiographs of the affected elbow showed cortical hyperostosis of the proximal part of the ulna and osteophytes on the anterior aspect of the elbow (Fig. 1).
showing 3D reconstruction computed tomography showing the classic appearance of dripping candle wax (arrows).
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A computed tomographic scan revealed nodularity of the periosteal bone formation and the presence of a flowing candle wax pattern on a short segment of bone (Fig. 2).
Range of motion under regional block Flexion (80 ) and Extension (60 ).
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Before surgery under regional block the patient had a Flexion of 80 and extension of 60 as shown in (Fig. 3)and during surgery after contracture release the range of motion was 130 of flexion and 0 of extension.
showing the excised osteophytes after debridement.
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Peri-operatively we collected the excised hyperostotic cortical lesion and sent it for tissue diagnosis (Fig. 4).
Histologic examination of the hyperostotic cortical lesion showing irregular, dense, hyperostotic, cortical bone trabeculae of varying thicknesses.
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Histologic examination of the tissue revealed dense bone, which was consistent with the diagnosis of melorheostosis (Fig. 5).