Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report
Dysplasia Epiphysealis Hemimelica (DEH) or Trevor's disease is a rare skeletal condition that forms osteochondroma like lesions in the epiphysis of long bones. This occurs mainly in pediatric patients with a predilection for the lower extremities. The knee and the ankle joint are most commonly...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396721000331 |
| _version_ | 1818393175583096832 |
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| author | John P. Bonvillian, DPM Hayden L. Hoffler, DPM Rebecca M. Steele, MD Matthew E. Ravish, DO Bettina M. Gyr, MD |
| author_facet | John P. Bonvillian, DPM Hayden L. Hoffler, DPM Rebecca M. Steele, MD Matthew E. Ravish, DO Bettina M. Gyr, MD |
| author_sort | John P. Bonvillian, DPM |
| collection | DOAJ |
| description | Dysplasia Epiphysealis Hemimelica (DEH) or Trevor's disease is a rare skeletal condition that forms osteochondroma like lesions in the epiphysis of long bones. This occurs mainly in pediatric patients with a predilection for the lower extremities. The knee and the ankle joint are most commonly affected in a hemimelic distribution meaning that either the medial or the lateral part of the center of ossification is affected. We report a rare case of Dysplasia Epiphysealis Hemimelica in an active pediatric patient involving multiple tarsal bones around the left ankle that was surgically excised after using a medial malleolar osteotomy for exposure. At over four years of follow up, our patient is pain free, has no growth arrest and continues to engage in normal activities. |
| first_indexed | 2024-12-14T05:41:08Z |
| format | Article |
| id | doaj.art-42ad2dea15af4a4099d1ff36771e506e |
| institution | Directory Open Access Journal |
| issn | 2667-3967 |
| language | English |
| last_indexed | 2024-12-14T05:41:08Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj.art-42ad2dea15af4a4099d1ff36771e506e2022-12-21T23:15:01ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672021-01-0112100033Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case reportJohn P. Bonvillian, DPM0Hayden L. Hoffler, DPM1Rebecca M. Steele, MD2Matthew E. Ravish, DO3Bettina M. Gyr, MD4Resident, Podiatric Medicine and Surgery Residency Program, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, United StatesResident, Podiatric Medicine and Surgery Residency Program, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, United States; Corresponding author.Assistant Professor, Department of Pathology, Wake Forest Baptist Medical Center, Winston-Salem, NC, United StatesAssistant Professor, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, United StatesCSSG Children's Orthopedics and Sports Medicine, Children's Hospital of the King's Daughters, Norfolk, VA, United StatesDysplasia Epiphysealis Hemimelica (DEH) or Trevor's disease is a rare skeletal condition that forms osteochondroma like lesions in the epiphysis of long bones. This occurs mainly in pediatric patients with a predilection for the lower extremities. The knee and the ankle joint are most commonly affected in a hemimelic distribution meaning that either the medial or the lateral part of the center of ossification is affected. We report a rare case of Dysplasia Epiphysealis Hemimelica in an active pediatric patient involving multiple tarsal bones around the left ankle that was surgically excised after using a medial malleolar osteotomy for exposure. At over four years of follow up, our patient is pain free, has no growth arrest and continues to engage in normal activities.http://www.sciencedirect.com/science/article/pii/S26673967210003314 |
| spellingShingle | John P. Bonvillian, DPM Hayden L. Hoffler, DPM Rebecca M. Steele, MD Matthew E. Ravish, DO Bettina M. Gyr, MD Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report Foot & Ankle Surgery: Techniques, Reports & Cases 4 |
| title | Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report |
| title_full | Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report |
| title_fullStr | Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report |
| title_full_unstemmed | Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report |
| title_short | Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report |
| title_sort | surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy a case report |
| topic | 4 |
| url | http://www.sciencedirect.com/science/article/pii/S2667396721000331 |
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