Dhillon Mandeep Singh, Dhillon Mehar, Patel Sandeep, Sharma Siddhartha
Department of Orthopedics, Foot and Ankle Biomechanics, Experimentation and Research Laboratory, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Orthop Case Rep. 2022 Sep;12(9):26-29. doi: 10.13107/jocr.2022.v12.i09.3000.
Dysplasia epiphysealis hemimelica, also known as Trevor disease, is a rare skeletal development disorder of childhood, characterized by asymmetric growth of the epiphyseal cartilage in childhood. The disease can be locally aggressive at the ankle, and can result in deformity or instability. We present a case of Trevor disease involving the lateral aspect of distal tibia and talus in a 9-year-old patient, and of highlight its clinical and radiological presentation, treatment, and outcomes.
A 9-year-old male presented with a painful swelling over the lateral aspect of the dorsum of right ankle and foot swelling for the past 1.5 years. Radiographs and computed tomography scan revealed exostoses arising from the lateral distal tibial epiphysis and talar dome. Skeletal survey revealed cartilaginous exostoses in distal femoral epiphyses, confirming the diagnosis. Wide resection was done, and the patients were asymptomatic and recurrence-free at 8 months follow-up.
Trevor disease around the ankle can have an aggressive course. Prompt recognition and timely surgical excision can prevent morbidity, instability, and deformity.
骨骺半侧发育不良，又称特雷弗病，是一种儿童罕见的骨骼发育障碍，其特征为儿童期骨骺软骨不对称生长。该疾病在踝关节处可呈局部侵袭性，可导致畸形或不稳定。我们报告一例9岁患者累及胫骨远端外侧和距骨的特雷弗病病例，并重点介绍其临床和放射学表现、治疗及结果。
一名9岁男性，在过去1.5年中，右踝背侧外侧出现疼痛性肿胀及足部肿胀。X线片和计算机断层扫描显示胫骨远端外侧骨骺和距骨穹窿部有骨疣形成。骨骼检查发现股骨远端骨骺有软骨性骨疣，确诊为此病。进行了广泛切除，在8个月的随访中，患者无症状且无复发。
踝关节周围的特雷弗病可呈侵袭性病程。及时识别并及时手术切除可预防发病、不稳定和畸形。
