Multiple Hereditary Exostosis

Multiple hereditary exostosis (MHE) is a genetic condition that causes bony growths to develop on the bones, potentially affecting mobility and joint health in children and adolescents. At Premier Podiatry and Orthopedics, pediatric orthopedic specialist Dr. Sheu provides expert evaluation, individualized treatment, and recovery plans to support safe movement and long-term orthopedic health.
Multiple Hereditary Exostosis

Multiple Hereditary Exostosis

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Table of Contents

Introduction

MHE is a condition characterized by the growth of multiple benign bone tumors called exostoses. These growths usually appear near the ends of long bones, including the arms and legs. Early monitoring and treatment are essential to prevent deformities, maintain function, and address discomfort.

What is MHE?

MHE is a hereditary disorder caused by genetic mutations that affect bone growth. Key points include:

  • Growths develop on the surface of bones near growth plates
  • Exostoses may vary in size and number
  • Growths often appear during childhood and continue until bone growth is complete
  • Some growths may be painful or interfere with movement

What Bone and Joint Problems Might My Child Develop?

Children with MHE may face various orthopedic challenges, including:

  • Bone deformities or uneven limb length
  • Limited range of motion in affected joints
  • Pain or irritation from pressure on muscles or tendons
  • Risk of fractures at growth sites
  • Rare potential for malignant transformation in adulthood

Musculoskeletal Care in MHE

Ongoing orthopedic care is important for monitoring growth and preventing complications:

  • Regular X-rays to track growths and bone development
  • Assessment of limb alignment and joint mobility
  • Monitoring for pain, functional limitations, or deformities
  • Developing individualized care plans to maintain mobility and reduce discomfort

Treatments for MHE

Treatment is often personalized based on growth location, size, and symptoms:

  • Observation and monitoring of asymptomatic exostoses
  • Pain management strategies
  • Physical therapy to improve strength, flexibility, and mobility
  • Recovery and rehabilitation plans guided by Dr. Sheu at Premier Podiatry and Orthopedics to support safe movement

Surgery for MHE

Surgical intervention may be recommended if growths:

  • Cause pain or restrict joint movement
  • Interfere with daily activities
  • Affect bone alignment or limb length
  • Are located in high-risk areas prone to complications

Personalized Pediatric Orthopedic Care

Dr. Sheu provides individualized care plans for children with MHE, focusing on early detection, safe activity, rehabilitation, and long-term orthopedic health. Families receive expert guidance and ongoing support throughout treatment and recovery.

Genetic Resources

Families affected by MHE can access support and information through:

  • Genetic counseling services
  • Patient advocacy groups and support networks
  • Educational resources on hereditary bone disorders
  • Community-based programs for children with orthopedic conditions

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