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半侧肢体骨骺发育异常:一种巨大的关节肿物,手术结果不可预测。

Dysplasia epiphysealis hemimelica: a huge articular mass with unpredictable surgical results.

作者信息

Luevitoonvechkij Sirichai, Khunsree Songsak, Sirirungruangsarn Yuddhasert, Settakorn Jongkolnee

机构信息

Department of Orthopaedics, Chiang Mai University, Thailand.

出版信息

BMJ Case Rep. 2012 Nov 21;2012:bcr2012007259. doi: 10.1136/bcr-2012-007259.

Abstract

Dysplasia epiphysealis hemimelica or Trevor's disease is a rare disorder of localised osteochondral overgrowth affecting the epiphysis of extremities. This paper reports a 12-year-old boy presenting with a large bony mass at the left ankle diagnosed as dysplasia epiphysealis hemimelica. The articular surface of the ankle joint of the patient was evaluated with preoperative and postoperative MRIs. The 2-year postoperative MRI showed early osteoarthritis of the ankle, therefore demonstrating the importance of early excision avoiding more complex resections of intra-articular lesions.

摘要

骨骺半侧肥大或特雷弗氏病是一种罕见的局限性骨软骨过度生长疾病,影响四肢骨骺。本文报道一名12岁男孩,左踝出现巨大骨质肿块,诊断为骨骺半侧肥大。通过术前和术后的MRI对该患者踝关节的关节面进行了评估。术后2年的MRI显示踝关节早期骨关节炎,因此证明了早期切除的重要性,避免对关节内病变进行更复杂的切除。

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本文引用的文献

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Dysplasia epiphysealis hemimelica of the talus: two case reports.距骨半侧骨骺发育异常:两例报告
J Orthop Surg (Hong Kong). 2005 Apr;13(1):79-82. doi: 10.1177/230949900501300115.
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HEMIMELIC SKELETAL DYSPLASIA.半侧肢体骨骼发育不良
J Bone Joint Surg Br. 1964 Nov;46:608-13.
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Juxtacortical osteogenic sarcoma. An analysis of fourteen cases.
J Bone Joint Surg Am. 1972 Sep;54(6):1205-16.

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