Papamerkouriou Yvonne-Mary, Orfanos Ioannis, Tsiridis Eleftherios, Anastasopoulos John
2nd Orthopaedic Department, Athens Children's Hospital Aghia Sophia, Athens, Greece.
General Hospital of Rhodes, Rhodes, Greece.
BMJ Case Rep. 2015 Sep 30;2015:bcr2015211077. doi: 10.1136/bcr-2015-211077.
Dysplasia epiphysealis hemimelica is a rare developmental disorder which affects the epiphyses. We report a case of the disease located in the ankle joint, referred to our clinic with the initial misdiagnosis of a Salter-Harris 3 type fracture of the distal epiphysis of the tibia. After correct diagnosis, the patient was treated surgically with the excision of the cartilaginous masses. Taking an accurate medical history and performing adequate imaging studies is essential in diagnosing and treating this disease. Fracture-like epiphyseal configurations in patients with no history of injury should raise suspicion of periarticular developmental disorders.
骨骺半侧发育不良是一种影响骨骺的罕见发育障碍。我们报告一例位于踝关节的该疾病病例，该患者最初被误诊为胫骨远端骨骺的Salter-Harris 3型骨折而转诊至我们诊所。正确诊断后，对患者进行了手术治疗，切除了软骨肿块。准确采集病史并进行充分的影像学检查对诊断和治疗该疾病至关重要。无损伤史患者出现类似骨折的骨骺形态应引起对关节周围发育障碍的怀疑。
