Department of Orthopaedic Surgery, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0353. doi: 10.2106/JBJS.CC.19.00353.
Dysplasia epiphysealis hemimelica (DEH), or Trevor disease, is an abnormal nonmalignant overgrowth of the epiphysis on one side of the body, often confined to one half of a joint of a limb. There is no known etiology or treatment for it. We are reporting the case of a 4.5-year-old boy with osteochondral-like growths on one side of the knee and ankle that could not be controlled by repeated excision. He underwent epiphyseal stapling at the knee and ankle. The regrowth was halted in both locations and has lasted for over 8 years.
Modulation of physeal growth by stapling can halt the uncontrollable overgrowth of lesions in DEH.
骺发育异常（DEH），又称 Trevor 病，是身体一侧骺的异常非恶性过度生长，常局限于肢体关节的一半。目前尚不清楚其病因或治疗方法。我们报告了一例 4.5 岁男孩，其一侧膝关节和踝关节有类似软骨的生长，经多次切除仍无法控制。他在膝关节和踝关节接受了骺钉固定术。两处的再生均停止，且已持续 8 年以上。
通过骺钉固定术调节骺生长，可以阻止 DEH 病变的不可控过度生长。
