J Korean Orthop Assoc.  2014 Dec;49(6):490-494. 10.4055/jkoa.2014.49.6.490.

Intramedullary Osteosclerosis Mimicking Lower Leg Radiating Pain

• Choi BW
• Choi BY

• KMID: 2185165
• DOI: http://doi.org/10.4055/jkoa.2014.49.6.490

Abstract

Intramedullary osteosclerosis is an uncommon benign condition characterized by endosteal new bone formation in long tubular bone of lower extremity and treatment as well as etiology is unknown. Due to the rarity of this disease, and because there is no specific clinical finding except leg pain, it is difficult to differentiate this entity from other causes presenting similar symptoms. We report on a case of intramedullary osteosclerosis mistaken for radiculopathy from lumbar disease with a review of the literature.

Keyword

osteosclerosis; radiculopathy

MeSH Terms

Leg*
Lower Extremity
Osteogenesis
Osteosclerosis*
Radiculopathy

Figure

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  Figure 1 Radiographs of tibia anteroposterior (A), lateral (B) show sclerosis in the endosteal and intramedullary area of the proximal and mid portion of the tibia (arrows).

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  Figure 2 Whole body bone scan shows intense uptake in the left tibia.

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  Figure 3 (A) T1-weighted axial image shows endosteal sclerosis causing narrowing of the canal of the tibia. Fat-suppressed T1-weighted coronal image (B) and sagittal image (C) show increased intramedullary bone density without surrounding bone edema (arrows).

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