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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.

DOI:10.1097/MD.0000000000017887
PMID:31702664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6855582/
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/ced14700b3ca/medi-98-e17887-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370a/6855582/79924f6a81b2/medi-98-e17887-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370a/6855582/ced14700b3ca/medi-98-e17887-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370a/6855582/79924f6a81b2/medi-98-e17887-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/370a/6855582/ced14700b3ca/medi-98-e17887-g002.jpg

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本文引用的文献

1
An unusual presentation of Trevor's disease at the ankle joint: Involvement of both medial and lateral epiphyses.踝关节Trevor病的罕见表现:内侧和外侧骨骺均受累。
Foot (Edinb). 2018 Sep;36:55-58. doi: 10.1016/j.foot.2018.01.003. Epub 2018 Jan 31.
2
More Than Epiphyseal Osteochondromas: Updated Understanding of Imaging Findings in Dysplasia Epiphysealis Hemimelica (Trevor Disease).不仅仅是骺软骨瘤:Trevor 病(骺发育不良性半肢骨瘤)影像学表现的最新认识。
AJR Am J Roentgenol. 2018 Oct;211(4):910-919. doi: 10.2214/AJR.18.19712. Epub 2018 Aug 30.
3
Dysplasia epiphysealis hemimelica: a histological comparative study with osteochondromas.
半侧肢体骨骺发育异常:与骨软骨瘤的组织学对比研究
J Child Orthop. 2017 Jun 1;11(3):160-168. doi: 10.1302/1863-2548.11.160208.
4
Arthroscopic Treatment of 2 Consecutive Cases of Dysplasia Epiphysealis Hemimelica of the Ankle: A 5-Year Follow-Up Report.关节镜治疗两例连续踝关节半侧骨骺发育不良:5年随访报告
Case Rep Orthop. 2017;2017:3175765. doi: 10.1155/2017/3175765. Epub 2017 May 30.
5
Dysplasia epiphysealis hemimelica (trevor syndrome) of talus in a 21-year old woman; case report.21岁女性距骨骨骺发育异常半侧肥大(特雷弗综合征);病例报告
Arch Bone Jt Surg. 2014 Mar;2(1):66-8. Epub 2014 Mar 15.
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Treatment of dysplasia epiphysealis hemimelica: a systematic review of published reports and a report of seven patients.
J Foot Ankle Surg. 2012 Sep-Oct;51(5):620-6. doi: 10.1053/j.jfas.2012.05.008. Epub 2012 Jul 21.
7
Bilateral dysplasia epiphysealis hemimelica of the talus associated with a lower leg intramuscular cartilaginous mass.距骨双侧骺软骨发育不良伴小腿肌内软骨肿块。
Pediatr Radiol. 2012 Apr;42(4):503-7. doi: 10.1007/s00247-011-2224-y. Epub 2011 Oct 2.
8
Dysplasia epiphysealis hemimelica of the talus.距骨骺发育不良性半肢畸形。
J Orthop Traumatol. 2009 Mar;10(1):43-6. doi: 10.1007/s10195-008-0029-z. Epub 2008 Oct 23.
9
Dysplasia epiphysealis hemimelica: two cases in two different regional expression.半侧肢体骨骺发育异常:两个不同区域表现的病例
J Pediatr Orthop B. 2007 Sep;16(5):381-2. doi: 10.1097/BPB.0b013e32825ea7a0.
10
EXT-related pathways are not involved in the pathogenesis of dysplasia epiphysealis hemimelica and metachondromatosis.EXT相关通路不参与半侧肢体骨骺发育异常和软骨瘤病的发病机制。
J Pathol. 2006 Jul;209(3):411-9. doi: 10.1002/path.1985.