Overview of the scientific sessions of the conference.
Genetics of MHE / MO / HME.
Presenting study results, Hereditary Multiple Exostoses and Pain
Orthopaedics’ of MHE / MO / HME.
Use of fixators, MHE / MO / HME   
Harish Hosalkar,#;  John P. Dormans,+

Abstract of MHE Conference  Workshop Orthopaedics
#Orthopaedic Resident, The Children’s Hospital of Philadelphia
+Chief of Orthopaedic Surgery,
The Children’s Hospital of Philadelphia
Professor of Orthopaedic Surgery, University of Pennsylvania School of Medicine

Multiple hereditary exostosis (MHE) is an inherited disease causing the development of numerous cartilaginous exostoses
throughout the skeleton.  

It is most commonly inherited as an autosomal dominant loss of function mutation of either the EXT1 or EXT2 genes with
almost complete penetrance.  Common problems for children with MHE are pain and tenderness due to compression of tendons
and nerves by the exostoses, skeletal deformity due to altered growth of long bones, cosmetic concerns, and rarely ischemic
complication due to compression of vascular structures.  As a result, most children with MHE will undergo several procedures for
removal of painful or deforming lesions.

Orthopaedics of MHE / MO / HME everything you need to know is a patient and parent-friendly guides that outlines the common
skeletal manifestations of MHE. This extensive review addresses the diagnostic tools including important features on clinical
exam, characterization of lesions, diagnostic work up including imaging features and histology. We have attempted to outline
the established patterns of involvement of MHE in various parts of the body i.e. mainly the skeletal system and their possible
treatment options.
A specific note is made in each subsection regarding what the parents should watch out for.
Finally a glossary of procedures and terminology is presented.
MHE 2005 Conference workshop
Chronic pain and the need for treatment.
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This web page was updated last on 12/16/09, 4:0O pm Eastern time
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