Multiple Hereditary Exostoses
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
This is a case of a 50-year-old male with worsening pain over the past 8 years in both the right upper extremity and right lower extremity. The patient, of note, did not have any neck pain. On clinical examination, there was mild right upper extremity weakness (4/5) and abnormal reflexes in the right upper extremity and right lower extremity. There was mild right lower extremity weakness.
Given the neurologic symptoms, radiographs were obtained, including imaging of the axial skeleton.
Multiple imaging studies were obtained. Some of the initial imaging studies obtained were radiographs of the spine. Lateral radiograph of the cervical spine demonstrated a large exostosis involving the posterior elements at the C2-3 level (Fig. 1). Additional radiographs of the chest and spine demonstrated additional sessile osseous exostoses involving the proximal left humerus and right scapula (Figs. 2 and 3).
- Pierz, KA, Stieber, JR, Kusumi, K, Dormans, JP (2002) Hereditary multiple exostoses: One center’s experience and review of etiology. Clin Ortop 401: pp. 49-59 CrossRef
- Mikawa, Y, Watanabe, R, Nakashima, Y, Hayashida, T (1997) Cervical spinal cord compression in hereditary multiple exostosis: Report of a case and a review of the literature. Arch Orthop Trauma Surg 116: pp. 112-115 CrossRef
- Eder, HG, Oberbauer, RW, Ranner, G (1993) Cervical cord compression in hereditary multiple exostoses. J Neurosurg Sci 37: pp. 53-56
- Chooi, YS, Siow, YS, Chong, CS (2005) Cervical myelopathy caused by an exostosis of the posterior arch of C1. J Bone Joint Surg Br 87: pp. 257-259 CrossRef
- Korinth, MC, Ramaekers, VT, Rohde, V (2004) Cervical cord exostosis compressing the axis in a boy with hereditary multiple exostoses. Case illustration. J Neurosurg Spine 100: pp. 223
- Ohtori, S, Yamagata, M, Hanaoka, E, Suzuki, H, Takahashi, K, Sameda, H, Moriya, H (2003) Osteochondroma in the lumbar spinal canal causing sciatic pain: report of two cases. J Orthop Sci 8: pp. 112-115 CrossRef
- Ratliff, J, Voorhies, R (2000) Osteochondroma of the C5 lamina with cord compression: case report and review of the literature. Spine 25: pp. 1293-1295 CrossRef
- Mermer, MJ, Gupta, MC, Salamon, PB, Benson, DR (2002) Thoracic vertebral body exostosis as a cause of myelopathy in a patient withhereditary multiple exostoses. J Spinal Disord Tech 15: pp. 144-148
- Murphey, MD, Choi, JJ, Kransdorf, MJ, Flemming, DJ, Gannon, FH (2000) Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics 20: pp. 1407-1434
- Multiple Hereditary Exostoses
Volume 1, Issue 1 , pp 49-51
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links