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

Medicine (Baltimore). 2019 Nov;98(45):e17887. doi: 10.1097/MD.0000000000017887.

Abstract

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. After operation, the pain was totally relieved. Postoperative pathological diagnosis showed DEH.

Outcomes: At the 6-month follow-up, pain and claudication symptoms fully disappeared, and range of motion of the right foot returned to normal level.

Conclusions: Dysplasia epiphysealis hemimelica is an uncommon disease which can cause pain of foot in children.

Lessons: When the pediatric orthopedic surgeon treated the children suffered with foot pain should be aware of this rare disease, especially accessory scaphoid bone was found in another foot.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bone Diseases, Developmental / diagnosis*
  • Bone Diseases, Developmental / surgery
  • Child
  • Female
  • Femur / abnormalities*
  • Femur / surgery
  • Foot / pathology
  • Humans
  • Scaphoid Bone / abnormalities*
  • Scaphoid Bone / diagnostic imaging
  • Scaphoid Bone / surgery
  • Tibia / abnormalities*
  • Tibia / surgery
  • Treatment Outcome

Supplementary concepts

  • Dysplasia epiphysealis hemimelica