Ali Malik I, Padhye Kedar P, Flood Meghan, Schollenberg Erica, Logan Karl J
Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Division of Orthopaedic Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
JBJS Case Connect. 2019 Dec;9(4):e0511. doi: 10.2106/JBJS.CC.18.00511.
We describe the case of a dysplasia epiphysealis hemimelica (DEH) lesion affecting uniquely the lunate bone in a 16-year-old boy causing pain, stiffness, and decreased range of motion. Surgical excision was performed, leading to resolution of primary symptoms with residual limitations in terminal wrist extension.
From our review of the literature, we believe this case to be the first report of a DEH lesion affecting solely the lunate bone. Although conservative and surgical management have both been described with DEH cases, we report a positive outcome following the excision of a symptomatic lesion.
我们描述了一名16岁男孩的半侧肢体骨骺发育异常(DEH)病例,该病变仅累及月骨,导致疼痛、僵硬和活动范围减小。进行了手术切除,主要症状得以缓解,但腕关节最终伸展仍有残留受限。
通过对文献的回顾,我们认为该病例是首例仅累及月骨的DEH病变报告。尽管对于DEH病例已有保守治疗和手术治疗的描述,但我们报告了切除有症状病变后取得的良好结果。