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半侧骨骺发育异常合并对侧副舟骨:1例报告及文献复习

Dysplasia epiphysealis hemimelica combined with contralateral accessory scaphoid bone: A case report and literature review.

作者信息

Li Bo, Wen Jie, Liu Hong, Xiao Sheng, Li Xin, Fang Ke, Zeng Ming, Tang Zhongwen, Cao Shu, Lee Bo, Li Fanling

机构信息

Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

出版信息

Medicine (Baltimore). 2019 Nov;98(45):e17887. doi: 10.1097/MD.0000000000017887.

Abstract

RATIONALE

Dysplasia epiphysealis hemimelica (DEH), also known as Trevor disease, is a rare, developmental bone disorder of childhood.

PATIENT CONCERNS

A 9-year-old girl was admitted due to pain in front of the medial malleolus of her right foot after a long walk or distance movement, in which the pain could be relieved after rest, while it was repeated and lasted for several months.

DIAGNOSIS

Dysplasia epiphysealis hemimelica INTERVENTIONS:: The patient underwent an open resection surgery. After operation, the pain was totally relieved. Postoperative pathological diagnosis showed DEH.

OUTCOMES

At the 6-month follow-up, pain and claudication symptoms fully disappeared, and range of motion of the right foot returned to normal level.

CONCLUSIONS

Dysplasia epiphysealis hemimelica is an uncommon disease which can cause pain of foot in children.

LESSONS

When the pediatric orthopedic surgeon treated the children suffered with foot pain should be aware of this rare disease, especially accessory scaphoid bone was found in another foot.

摘要

理论依据

骨骺半侧发育异常(DEH),也称为特雷弗病,是一种罕见的儿童发育性骨病。

患者情况

一名9岁女孩因长时间行走或远距离运动后右足内踝前方疼痛入院,休息后疼痛可缓解,症状反复出现且持续数月。

诊断

骨骺半侧发育异常

干预措施

患者接受了开放性切除术。术后疼痛完全缓解。术后病理诊断为DEH。

结果

6个月随访时,疼痛和跛行症状完全消失,右足活动范围恢复正常水平。

结论

骨骺半侧发育异常是一种可导致儿童足部疼痛的罕见疾病。

经验教训

小儿骨科医生在治疗足部疼痛的儿童时应意识到这种罕见疾病,尤其是在另一只足部发现副舟骨时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370a/6855582/79924f6a81b2/medi-98-e17887-g001.jpg

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