[Symptomatic foot shortening with subacute soft tissue swelling of the right tibia].

A 13-year-old girl presented with load-dependent pain of the medial part of the right foot. The medical history revealed no trauma and no sports-related injury. X-ray examinations of the foot and lower leg showed subcortical increased sclerosis at the medial part of the tibia, the medial tarsal bones and of a bunion. Magnetic resonance imaging revealed corresponding findings with localized edema of the bone marrow within the increased subcortical sclerosis but no indications of subcutaneous fibrosis. The constellation is indicative of melorheostosis, a rare benign sclerosis of bones and soft tissue. Subcutaneous fibrosis and limb shortening are also common.