Journal of orthopaedic case reports · 2026
Concurrent Occurrence of Dysplasia Epiphysealis Hemimelica involving Lateral Malleolus and Sinus Tarsi: Rare Case with Review of Literature.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Kantiwal Prabodh, Suhail Amir, Adnan Syed Mohammed, Singh Manveer, Meer S A Furqan, Jayant Nitesh
Аннотация
INTRODUCTION: Dysplasia epiphysealis hemimelica (DEH), also known as Trevor's disease, is a rare developmental disorder characterized by asymmetric osteochondral overgrowth arising from the epiphysis. It commonly involves the lower limb, particularly the ankle and knee, and may mimic osteochondroma both clinically and histologically.
CASE REPORT: We report an unusual case of an 8-year-old boy presenting with pain, swelling, and progressive restriction of ankle motion. Imaging revealed osteochondral lesions arising from the distal fibular epiphysis and the inferolateral aspect of the talus extending into the sinus tarsi. Surgical excision of both lesions was performed through an anterolateral approach. Histopathological examination showed features of a benign osteochondral lesion consistent with DEH. At 12-month follow-up, the patient demonstrated near-full ankle range of motion, no recurrence, and satisfactory functional recovery.
CONCLUSION: Concurrent involvement of the distal fibula, talus, and sinus tarsi represents an unusual presentation of DEH. Comprehensive imaging evaluation and complete surgical excision can provide favorable functional outcomes.
CASE REPORT: We report an unusual case of an 8-year-old boy presenting with pain, swelling, and progressive restriction of ankle motion. Imaging revealed osteochondral lesions arising from the distal fibular epiphysis and the inferolateral aspect of the talus extending into the sinus tarsi. Surgical excision of both lesions was performed through an anterolateral approach. Histopathological examination showed features of a benign osteochondral lesion consistent with DEH. At 12-month follow-up, the patient demonstrated near-full ankle range of motion, no recurrence, and satisfactory functional recovery.
CONCLUSION: Concurrent involvement of the distal fibula, talus, and sinus tarsi represents an unusual presentation of DEH. Comprehensive imaging evaluation and complete surgical excision can provide favorable functional outcomes.