195 results match your criteria Dysplasia Epiphysealis Hemimelica


An unconventional presentation of Hip Joint Trevor disease with the involvement of the whole capital femoral epiphysis: A case report and literature review.

Acta Orthop Traumatol Turc 2022 Mar;56(2):147-151

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China; Research Centre for Regenerative Medicine, Guangxi Key Laboratory of Regenerative Medicine, Guangxi Medical University, Nanning, Guangxi, People's Republic of China.

Dysplasia epiphysealis hemimelica (DEH) or Trevor's disease is a rare, nonhereditary developmental disorder of skeleton affecting epiphysis and short bones of limbs and characterized by a benign overgrowth of the medial half of the epiphysis resembling osteochondroma. We herein report an unconventional presentation of Trevor's disease of the hip with the involvement of the whole epiphysis. Only a few cases of DEH with such unusual features were found in the literature. Read More

View Article and Full-Text PDF

A Case Report of Trevor's Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease.

J Orthop Case Rep 2021 Dec;11(12):39-43

Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.

Introduction: Hereditary multiple exostoses (HME) disease is hallmarked by cartilaginous osteochondromas secondary to an autosomal dominant mutation within the exostosin gene family. These outgrowths predominantly occur around the long bone physis. An associated disease is dysplasia epiphysealis hemimelica also known as Trevor's disease. Read More

View Article and Full-Text PDF
December 2021

Bilateral Toe Walking as Presentation of Unilateral Dysplasia Epiphysealis Hemimelica of the Ankle: A Case Report.

JBJS Case Connect 2021 11 11;11(4). Epub 2021 Nov 11.

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.

Case: We describe a case of dysplasia epiphysealis hemimelica (DEH) of the anterior tibiotalar joint that presented as toe walking in a 6-year-old boy. Radiographs and magnetic resonance images showed substantial exostosis at the anterior ankle that blocked dorsiflexion. He underwent surgical excision and casting for equinus, restoring ankle range of motion and gait. Read More

View Article and Full-Text PDF
November 2021

Dysplasia Epiphysealis Hemimelica (Trevor's Disease) in Children, Two New Cases: Diagnosis, Treatment, and Literature Review.

Children (Basel) 2021 Oct 12;8(10). Epub 2021 Oct 12.

Department of Pediatric Surgery, "Grigore Alexandrescu" Clinical Emergency Hospital for Children, 011743 Bucharest, Romania.

Dysplasia epiphysealis hemimelica (DEH), also known as Trevor's disease, is a rare nonhereditary skeletal disorder affecting one side of the epiphyses or the epiphyses-equivalents. It is often misdiagnosed for traumatic injuries, infections, or other tumors because of the nonspecific clinical features. The diagnosis is mostly based on radiographic involvement of one half of the epiphysis displaying an overgrowth; it is hard to distinguish between DEH and osteochondroma on the gross hystopathological exam. Read More

View Article and Full-Text PDF
October 2021

Dysplasia Epiphysealis Hemimelica Presenting as Multiple Loose Bodies: A Case Report.

JBJS Case Connect 2021 10 14;11(4). Epub 2021 Oct 14.

Pediatric Orthopaedic Surgery Department, Centre Hospitalier Universitaire Lapeyronie, Montpellier, France.

Case: A 11-year-old boy with no medical history presented with a protective limp and worsening mechanical pain in his left knee. No recent traumatic or infectious history was reported. Radiographs and ultrasonography showed multiple intra-articular loose bodies with osteocartilaginous signal. Read More

View Article and Full-Text PDF
October 2021

Juvenile Dysplasia Epiphysealis Hemimelica with Multiple Ankle Free Body.

Case Rep Orthop 2021 9;2021:5579684. Epub 2021 Apr 9.

Department of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo 113-8655, Japan.

Dysplasia epiphysealis hemimelica (DEH), also known as Trevor's disease, is a rare overgrowth of cartilage that commonly arises in the epiphyseal bone of children. We report a rare case of DEH originating from a talus accompanied by multiple intra-articular free bodies in a 7-year-old patient with ankle instability. After the primary surgery for free body removal and microfracture technique for the cartilage defects in the ankle joint, the free body recurred. Read More

View Article and Full-Text PDF

Dysplasia epiphysealis hemimelica of the radial head: a rare case report.

BMC Musculoskelet Disord 2021 Feb 5;22(1):151. Epub 2021 Feb 5.

Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Dysplasia epiphysealis hemimelica (DEH) is a rare benign overgrowth generally affecting the epiphyses and short bones of the lower limbs. DEH in the elbow joint is extremely rare, and to date, only three cases of DEH have been reported in the radial head.

Case Presentation: In this study, we report a case of DEH located in the radial head of the right elbow of a 10-year-old boy, which was presented with elbow pain and limited range of motion. Read More

View Article and Full-Text PDF
February 2021

Dysplasia Epiphysealis Hemimelica (Trevor Disease) of the Patella: A Case Report.

JBJS Case Connect 2020 Jul-Sep;10(3):e2000003

1Department of Orthopaedics, Government Medical College & Hospital, Chandigarh, India 2Department of Radiodiagnosis & Imaging, Government Medical College & Hospital, Chandigarh, India 3Department of Pathology, Government Medical College & Hospital, Chandigarh, India.

Case: We report a rare case of dysplasia epiphysealis hemimelica in an 11-year-old male child involving the patella. The patient noticed swelling in the right knee 6 months before presentation. On evaluation, there was a mass lesion originating from superior pole of the patella extending into the suprapatellar pouch. Read More

View Article and Full-Text PDF

Dysplasia Epiphysealis Hemimelica Can Be Controlled by Growth Modulation: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0353

Department of Orthopaedic Surgery, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Case: 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. Read More

View Article and Full-Text PDF
January 2021

TKA in the treatment of bilateral dysplasia epiphysealis hemimelica (Trevor's Disease) of the knee in a 50-year-old man: a case report.

BMC Musculoskelet Disord 2020 Mar 14;21(1):167. Epub 2020 Mar 14.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: Dysplasia epiphysealis hemimelica (DEH), also known as Trevor's disease, is a rare skeletal developmental disorder affecting the epiphyses in pediatric patients. DEH is characterized by an asymmetric osteochondral overgrowth arising from either the medial or lateral portion of an epiphysis and usually occurs in the joints of lower limbs, most commonly in the knees and ankles. However, bilateral involvement in an adult is extremely rare, and total knee arthroplasty (TKA) for a patient with DEH has been reported only once before. Read More

View Article and Full-Text PDF

Trevor's disease of the distal radioulnar joint in two children with achondroplasia.

Am J Med Genet A 2020 05 29;182(5):1249-1254. Epub 2020 Feb 29.

Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Two children with achondroplasia who developed an abnormal bony outgrowth at the distal radioulnar joint (DRUJ), indistinguishable from an osteochondroma on histology, but the radiographic appearance, location, and asymmetry suggested the rare diagnosis of dysplasia epiphysealis hemimelica (DEH or "Trevor's disease"). One child experienced symptomatic relief with surgical excision and one was observed clinically due to lack of significant symptoms. These are the first presented cases of DEH in achondroplasia, both affecting the DRUJ. Read More

View Article and Full-Text PDF

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

Medicine (Baltimore) 2019 Nov;98(45):e17887

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

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. Read More

View Article and Full-Text PDF
November 2019

Dysplasia Epiphysealis Hemimelica/Trevor Disease: Report of a Lesion Solely Involving the Lunate Bone: A Case Report.

JBJS Case Connect 2019 Dec;9(4):e0511

Division of Orthopaedic Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.

Case: 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.

Conclusions: From our review of the literature, we believe this case to be the first report of a DEH lesion affecting solely the lunate bone. Read More

View Article and Full-Text PDF
December 2019

Benign bone tumours of tibial tuberosity clinically mimicking Osgood-Schlatter disease: a case series.

Int Orthop 2019 11 11;43(11):2563-2568. Epub 2019 Sep 11.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, IR, Iran.

Introduction: Osgood-Schlatter disease (OSD) is a traction apophysitis of the tibial tubercle and a common cause of anterior knee pain in growing adolescents. A variety of benign neoplasms can also cause bony prominence over the tibial tubercle in adolescents that might clinically imitate OSD. Therefore, the differential diagnosis of tumours mimicking OSD is critical and considered the primary goal of this study. Read More

View Article and Full-Text PDF
November 2019

Combined Anterior and Posterior Ankle Arthroscopy for Dysplasia Epiphysealis Hemimelica of the Ankle in a Child: A Case Report.

J Orthop Case Rep 2019 Jan-Feb;9(1):90-93

Department of Orthopaedics and Traumatology, Sultan Qaboos Hospital, Salalah, Oman.

Introduction: Dysplasia Epiphysealis Hemimelica (DEH)is a rare developmental epiphyseal disease characterized by asymmetri cover growth of cartilage in the epiphysis, histologically mimics osteochondroma of the joints. The disease mainly involves ankle, knee and tarsal bones. Small number of cases is reported in literature particularly those managed arthroscopically. Read More

View Article and Full-Text PDF

Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function.

Case Rep Radiol 2019 27;2019:5356246. Epub 2019 Mar 27.

Departamento de Radiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Dysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction. This case highlights the importance of stratification into intra- and extra-articular lesions, as this distinction ultimately influences both symptoms and treatment outcome. Read More

View Article and Full-Text PDF

Watching and waiting in chronic hip pain.

Lancet 2019 04 4;393(10179):e36. Epub 2019 Apr 4.

Prince of Wales Clinical School, Department of Orthopaedics, Prince of Wales Hospital, University of New South Wales, Sydney, NSW, Australia; Department of Orthopaedics, Prince of Wales Private Hospital, Sydney, NSW, Australia.

View Article and Full-Text PDF

An unusual presentation of Trevor's disease at the ankle joint: Involvement of both medial and lateral epiphyses.

Foot (Edinb) 2018 Sep 31;36:55-58. Epub 2018 Jan 31.

İstanbul Medeniyet University Goztepe Training and Research Hospital, Orthopaedics and Traumatology Department, Turkey. Electronic address:

Introduction: Trevor's disease, also known as dyplasia epiphysealis hemimelica, is characterised by osteochondromas arising from epiphyses. The disease typically affects one side of an epiphysis (usually the medial side).

Case Presentation: A case in whom both the medial and lateral sides of the epiphysis were involved is described. Read More

View Article and Full-Text PDF
September 2018

More Than Epiphyseal Osteochondromas: Updated Understanding of Imaging Findings in Dysplasia Epiphysealis Hemimelica (Trevor Disease).

AJR Am J Roentgenol 2018 10 30;211(4):910-919. Epub 2018 Aug 30.

1 Department of Radiology, The Children's Hospital of Philadelphia, 3NW39, 3401 Civic Center Blvd, Philadelphia, PA 19104.

Objective: The purpose of this article is to discuss approaches to imaging dysplasia epiphysealis hemimelica in the context of recent advances in the understanding of the underlying pathophysiologic profile of this entity, which may result in pain, growth disturbance, and early development of osteoarthritis.

Conclusion: Dysplasia epiphysealis hemimelica was first characterized as a skeletal disorder with osteochondromas characteristically involving epiphyses on one side of the same lower extremity. Upper extremity involvement was subsequently recognized. Read More

View Article and Full-Text PDF
October 2018

Arthroscopic treatment of intra-articular dysplasia epiphysealis hemimelica of the knee.

SAGE Open Med Case Rep 2018 26;6:2050313X18790166. Epub 2018 Jul 26.

Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, University of Tsukuba, Mito, Japan.

Dysplasia epiphysealis hemimelica, also known as Trevor Fairbank disease, is characterized by asymmetrical osteochondral overgrowth of the epiphyseal cartilage. The clinical presentation of dysplasia epiphysealis hemimelica is wide and variable, depending on the site of the lesion. Herein, we describe the physical examination of a 9-year-old boy with intra-articular dysplasia epiphysealis hemimelica, in whom the symptoms were elicited on "reverse Wilson's sign": bending the knee from 70° to 120° against resistance while externally rotating the tibia. Read More

View Article and Full-Text PDF

A child with painless left wrist swelling.

Skeletal Radiol 2018 04;47(4):547-548

Department of Diagnostic and Interventional Radiology, Kwong Wah Hospital, 25 Waterloo Road, Yau Ma Tei, Hong Kong.

View Article and Full-Text PDF

The Natural History of the Development of Trevor Disease of the Hip and Subsequent Arthroplasty: A Case Report.

JBJS Case Connect 2017 Jul-Sep;7(3):e67

Department of Orthopaedic Surgery, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Case: Trevor disease (dysplasia epiphysealis hemimelica [DEH]) is a rare, intra-articular anomaly of cartilaginous overgrowth of the epiphysis. The usual presentation is on 1 side of the body and on 1 side of the epiphysis. The natural history of this disease is not clear because the lesions often are treated during childhood. Read More

View Article and Full-Text PDF

Dysplasia epiphysealis hemimelica: a histological comparative study with osteochondromas.

J Child Orthop 2017 Jun;11(3):160-168

Department of Orthopaedic Surgery, Research School CAPHRI, Maastricht University Medical Centre, Maastricht, The Netherlands.

Purpose: Dysplasia epiphysealis hemimelica (DEH) is a rare developmental disorder resulting in epiphyseal overgrowth. Based on histological appearance, it is often described as an osteochondroma or osteochondroma-like lesion, although clinical differences exist between DEH and osteochondromas. The aim of this study was to test whether DEH and osteochondromas are histologically identical diseases. Read More

View Article and Full-Text PDF

Arthroscopic Treatment of 2 Consecutive Cases of Dysplasia Epiphysealis Hemimelica of the Ankle: A 5-Year Follow-Up Report.

Case Rep Orthop 2017 30;2017:3175765. Epub 2017 May 30.

Orthopaedic and Traumatology Department, S. Andrea Hospital, Faculty of Medicine and Psychology, "Sapienza" University of Rome, Rome, Italy.

The dysplasia epiphysealis hemimelica (DEH) is a rare disease of unknown etiology consisting in an abnormal osteocartilaginous growth at the epiphysis, usually hemimelic with histological findings similar to benign osteochondroma. In this case series, we described the results of the arthroscopic treatment of 2 consecutive cases of intra-articular ankle localization of DEH in 2 patients aged 9 and 10 years. The good result obtained, persistent at the 5-year follow-up, leads us to consider the arthroscopic approach as a reliable treatment in patient affected by intra-articular ankle DEH. Read More

View Article and Full-Text PDF

Novel case of Trevor's disease: Adult onset and later recurrence.

World J Orthop 2017 Jan 18;8(1):77-81. Epub 2017 Jan 18.

Amrit S Khalsa, Neil S Kumar, Matthew A Chin, the Department of Orthopaedic Surgery, Hahnemann University Hospital, Philadelphia, PA 19102, United States.

Dysplasia epiphysealis hemimelica (DEH), or Trevor's disease, is an osteocartilaginous epiphyseal overgrowth typically occurring in children. The literature reports 6 adult cases and none describe recurrence requiring additional procedures. We present a new-onset proximal tibial DEH in an adult recurring approximately 3 years after open excision. Read More

View Article and Full-Text PDF
January 2017

Dysplasia epiphysealis hemimelica of the lower limb.

Skeletal Radiol 2017 Jan 14;46(1):111-115. Epub 2016 Oct 14.

School of Medicine, Pathology Department, Gaziosmanpasa University, Tokat, Turkey.

Dysplasia epiphysealis hemimelica (DEH) is a rare developmental disorder characterized by osteocartilaginous overgrowth in one or more epiphyses. The disease usually involves a single limb or is hemimelic (lateral or medial compartment), and lower extremities are more frequently affected than upper extremities. Here we present clinical and radiological findings for a male DEH patient at 1. Read More

View Article and Full-Text PDF
January 2017

[An eight-year-old boy with painful flat feet].

Radiologe 2016 Oct;56(10):917-920

Abteilung für Diagnostische und Interventionelle Radiologie, Radiologische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

View Article and Full-Text PDF
October 2016

Trevor's Disease: Management Difficulties and Proposed Classification.

Authors:
Daine O Clarke

Orthopedics 2016 Sep 1;39(5):e967-9. Epub 2016 Jun 1.

Dysplasia epiphysealis hemimelica, also known as Trevor's disease, is a rare developmental disorder with osteocartilagenous overgrowth of the epiphysis or epiphyseal equivalent. The condition bears similarities to osteochondroma in terms of its radiographic appearance, but differs in its pathobiology and geographic occurrence. Unlike the metaphyseal occurrence of osteochondromata, it arises from the epiphysis. Read More

View Article and Full-Text PDF
September 2016

Dysplasia epiphysealis hemimelica (Trevor disease) in the ankle.

Ther Clin Risk Manag 2016 6;12:545-7. Epub 2016 Apr 6.

Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey.

Dysplasia epiphysealis hemimelica, also termed Trevor disease, is a rare disorder that, although benign in nature, can be locally aggressive, particularly when affecting the ankle joint, which is the joint most frequently affected, followed by the knee. The female:male ratio is 1:3, and it is generally diagnosed between 2 and 14 years of age. Surgical treatment with complete resection is recommended before irreversible joint damage and deformity occurs. Read More

View Article and Full-Text PDF