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踝关节Trevor病的罕见表现:内侧和外侧骨骺均受累。

An unusual presentation of Trevor's disease at the ankle joint: Involvement of both medial and lateral epiphyses.

作者信息

Uygur Esat, Demiroğlu Murat, Aydin Davut, Kiliç Bülent, Özkan Korhan

机构信息

İstanbul Medeniyet University Goztepe Training and Research Hospital, Orthopaedics and Traumatology Department, Turkey.

İstanbul Gelişim University, 34310 Cihangir, Avcılar, İstanbul, Turkey.

出版信息

Foot (Edinb). 2018 Sep;36:55-58. doi: 10.1016/j.foot.2018.01.003. Epub 2018 Jan 31.

DOI:10.1016/j.foot.2018.01.003
PMID:30336340
Abstract

INTRODUCTION

Trevor's disease, also known as dyplasia epiphysealis hemimelica, is characterised by osteochondromas arising from epiphyses. The disease typically affects one side of an epiphysis (usually the medial side).

CASE PRESENTATION

A case in whom both the medial and lateral sides of the epiphysis were involved is described. Thus, the use of the descriptor "hemimelica" is not always appropriate.

CONCLUSION

Although rare, Trevor's disease should be kept in mind during the differential diagnosis of patients with ankle pain and a mass. Other possible joints should be examined to explore multiple involvement. Surgical treatment, only on lesions causing impingements, may improve functional status and reduce pain.

摘要

引言

特雷弗氏病,也称为半侧肢体骨骺发育异常,其特征是骨骺部位出现骨软骨瘤。该病通常影响骨骺的一侧(通常是内侧)。

病例介绍

本文描述了一例骨骺内侧和外侧均受累的病例。因此,使用“半侧肢体”这一描述并不总是合适的。

结论

尽管罕见,但在诊断踝关节疼痛伴肿块的患者时,应考虑特雷弗氏病。应检查其他可能受累的关节以排查多处受累情况。仅对引起撞击的病变进行手术治疗,可能会改善功能状态并减轻疼痛。

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J Orthop Case Rep. 2022 Sep;12(9):26-29. doi: 10.13107/jocr.2022.v12.i09.3000.
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