Dysplasia epiphysealis hemimelica: a huge articular mass with unpredictable surgical results

Luevitoonvechkij, Sirichai; Khunsree, Songsak; Sirirungruangsarn, Yuddhasert; Settakorn, Jongkolnee

doi:10.1136/bcr-2012-007259

Cited by 7 publications

(11 citation statements)

References 14 publications

(12 reference statements)

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“…Gait abnormalities or limb length discrepancy can also be present [19, 25, 26]. Simple radiographs are very important for the diagnosis of DEH [3], and the radiographic findings are characteristic.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations of DEH, irrespective of the involved joints, consist of functional impairment and limitation of range of movement, deformity and swelling, and in some cases pain and wasting of the muscles that move the affected joint. Gait abnormalities or limb length discrepancy can also be present [ 19 , 25 , 26 ]. Simple radiographs are very important for the diagnosis of DEH [ 3 ], and the radiographic findings are characteristic.…”

Section: Discussionmentioning

confidence: 99%

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Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case

Arealis

Nikolaou

Lacon

et al. 2014

Case Reports in Orthopedics

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Background. Dysplasia epiphysealis hemimelica (DEH) is rare and its main characteristic is osteochondromas of the epiphysis of long bones. Methods. We report a case of DEH of the ankle in an 8-year-old boy that was resected in 2005. Additionally we collect all the reported cases of DEH. The literature is reviewed regarding the treatment, prognosis, long term function, and patterns and areas affected by DEH. Results. In our case no complications were noted and our patient remains asymptomatic. Reviewing the literature we found that 73 authors have reported 144 cases from 1926 to 2013. We propose and describe a new classification that correlates with prognosis. According to our classification DEH is classified as types 1 with single lower limb involvement, 2 with multiple lower limb, 3 with single upper limb, 4 with multiple upper limb, 5 with upper and lower limb, and 6 with spine. Conclusions. All single lesions should be followed up and if indicated a whole body nuclear bone scan can be useful in identifying the existence of multiple affected joints. Type 1 lesions have better prognosis than 2 and have less chances of developing OA even if not resected. Resection, even if partial, can be a successful treatment for DEH.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case

Arealis

Nikolaou

Lacon

et al. 2014

Case Reports in Orthopedics

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“…However, delayed diagnosis or treatment might result in an enlarged intra-articular mass, making the decision for surgical treatment more difficult. Therefore, early excision is recommended depending on the location of DEH [ 14 ]. To avoid unnecessary surgical intervention, a preoperative biopsy could be useful, particularly in the early stages of the disease or when the lesion is presented in unusual locations [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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

Mohamadian

Bahardoust

Sanandaji

et al. 2021

BMC Musculoskelet Disord

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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. In clinical examination, an asymmetrical enlargement was observed over the elbow. The lesion was resected surgically, and the patient’s symptoms resolved afterward. The histologic analysis of the lesion confirmed the diagnosis of DEH. Conclusion This report highlights the role of DEH in the differential diagnosis of elbow pathologies, particularly its differentiation from osteochondroma.

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“…Otros diagnósticos diferenciales de la enfermedad de Trevor descritos en la bibliografía, que no se discuten porque se alejan de las características clínicas del paciente, son: la miositisosificante, calcinosis tumoral, osteosarcoma, condromatosis sinovial, y calcificaciones vasculares o parasitarias. 2,5 En cuanto a las displasias óseas, se consideraron la condrodisplasia punctata y la displasia epifisiaria múltiple, dentro del diagnóstico diferencial, las cuales se logran descartar debido a que ocurren de forma bilateral y presentan áreas de necrosis aséptica, mientras que la afección en el paciente es un sobrecrecimiento osteocondral unilateral. 1 Hay muchas características, tanto clínicas como radiográficas, que apoyan el diagnóstico de la enfermedad de Trevor.…”

Section: Discussionunclassified