Maalouf Antoine, Hage Samer El, Haidar Rachid, Dagher Fernand, Kharrat Khalil, Ghanem Ismat
Department of Orthopaedic Surgery, Hotel-Dieu de France Hospital, St Joseph University, Beirut, Lebanon.
J Pediatr Orthop B. 2011 May;20(3):142-6. doi: 10.1097/BPB.0b013e32833a5f8b.
Dysplasia epiphysealis hemimelica (DEH) or Trevor's disease is a rare disorder affecting the epiphyses and short bones of the limbs, and characterized by a benign overgrowth of the medial-half of the epiphysis resembling osteochondroma. Upper limb involvement is very rare and most commonly affects the carpal bones. Only five established cases of DEH around the elbow were found in the orthopedic literature. We herein report an additional case of Trevor's disease of the elbow in a child with a symptomatic ulnar nerve compression and its management. To the best of our knowledge, this is the first case of DEH of the elbow presenting with nerve compromise.
骨骺半侧发育异常(DEH)或特雷弗氏病是一种罕见的疾病,影响四肢的骨骺和短骨,其特征是骨骺内侧半部出现类似骨软骨瘤的良性过度生长。上肢受累非常罕见,最常累及腕骨。在骨科文献中仅发现5例确诊的肘部周围DEH病例。我们在此报告1例患有症状性尺神经受压的儿童肘部特雷弗氏病病例及其治疗情况。据我们所知,这是首例出现神经损伤的肘部DEH病例。