Analysis of dysplasia epiphysealis hemimelica (Trevor´s disease) of the ankle.

Main Article Content

Matías Iglesias
Martín Rofrano
Enzo Sperone
Alberto Macklin Vadell
Alejandro Fazio

Abstract

Dysplasia epiphysealis hemimelica or Trevor’s disease is an osteocartilaginous deformity in the bone epiphyseal area. It is an uncommon condition prevailing in males. It develops in childhood, with growth plates still open, and it affects mainly patients’ ankles and knees. It is a condition of unknown origin. We present three cases with different degrees of severity, and also the therapeutic alternatives for each. There is only one case subject to surgical treatment due to irreducible equinus deformity. We provide details about surgical techniques, postoperative management and results in histologic analyses. We recommend operating on only those patients with some functional limitation or severe deformity due to the high recurrence rates they are associated with.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Iglesias, M., Rofrano, M., Sperone, E., Macklin Vadell, A., & Fazio, A. (2018). Analysis of dysplasia epiphysealis hemimelica (Trevor´s disease) of the ankle. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(4), 291-297. https://doi.org/10.15417/issn.1852-7434.2018.83.4.794
Section
Case Presentations
Author Biographies

Matías Iglesias, Hospital de Trauma y Emergencias "Dr. Federico Abete", Buenos Aires

Servicio de Ortopedia y Traumatología, Hospital de Trauma y Emergencias  "Dr. Federico Abete", Buenos Aires

Martín Rofrano, Hospital de Trauma y Emergencias "Dr. Federico Abete", Buenos Aires

Servicio de Ortopedia y Traumatología, Hospital de Trauma y Emergencias  "Dr. Federico Abete", Buenos Aires

Enzo Sperone, Hospital de Trauma y Emergencias "Dr. Federico Abete", Buenos Aires

Servicio de Ortopedia y Traumatología, Hospital de Trauma y Emergencias  "Dr. Federico Abete", Buenos Aires

Alberto Macklin Vadell, Hospital de Trauma y Emergencias "Dr. Federico Abete", Buenos Aires

Servicio de Ortopedia y Traumatología, Hospital de Trauma y Emergencias  "Dr. Federico Abete", Buenos Aires

Alejandro Fazio, Hospital de Trauma y Emergencias "Dr. Federico Abete", Buenos Aires

Servicio de Ortopedia y Traumatología, Hospital de Trauma y Emergencias  "Dr. Federico Abete", Buenos Aires

References

1. Dondoglio MA, D’Assaro O, Diez R, Chiappara J. Displasia epifisaria hemimélica. Actas Trab Soc Argent Med Cir Pie 1985;4:38.

2. Struijs PAA, Kerkhoffs GMMJ, Besselaar PP. Treatment of dysplasia epiphysealis hemimelica: a systematic review of published reports and a report of seven patients. J Foot Ankle Surg 2012;51:620-6.
doi: 10.1053/j.jfas.2012.05.008

3. Merzoug V, Wicard P, Dubousset J, Kalifa G. Bilateral dysplasia epiphysealis hemimelica: report of two cases. Pediatr Radiol 2002;32:431-4. doi: 10.1007/s00247-001-0626-y

4. Kuo RS, Bellemore MC, Monsell FP, Frawley K, Kozlowski K. Dysplasia epiphysealis hemimelica: clinical features and management. J Pediatr Orthop 1998;18:543-8. PMID: 9661870,
doi: 10.1097/01241398-199807000-00028

5. Gokkus K, Aydin AT, Uyan A, Cengiz M. Dysplasia epiphysealis hemimelica of the ankle joint: a case report. J Orthop Surg 2011;19:254-6. doi: 10.1177/230949901101900227

6. Rosero VM, Kiss S, Terebessy T, Kollo K, Szoke G. Dysplasia epiphysealis hemimelica (Trevor’s disease): 7 of our own cases and a review of the literature. Acta Orthopaed 2007;78:856-61.
doi: 10.1080/17453670710014662

7. Keret D, Spatz DK, Caro PA, Mason DE. Dysplasia epiphysealis hemimelica: diagnosis and treatment. J Pediatr Orthop 1992-12:365-72. PMID: 1573003, doi: 10.1097/01241398-199205000-00016

8. Trevor D. Tarso-epiphysialaclasis: a congenital error of epiphysial development. J Bone Joint Surg Br 1950-32:204-13. PMID: 15422019

9. Mouchet A, Belot J. La tarsomegalie. J Radiol Electrol 1926;10:289-93.

10. Fairbank TJ. Dysplasia epiphysealis hemimelica (tarso-epiphysial-aclasis). J Bone Joint Surg Br 1956;38:237-57. doi:10.1302/0301-620X.38B1.237

11. Connor JM, Horan FT, Beighton P. Dysplasia epiphysealis hemimelica: a clinical and genetic study. J Bone Joint Surg Br 1983-65:350-4. doi:10.1302/0301-620X.65B3.6841410

12. Saxton HM, Wilkinson JA. Hemimelic skeletal dysplasia. J Bone Joint Surg Br 1964;46:608-13. doi:10.1302/0301-620X.46B4.608

13. Ho AM, Blane CE, Kling TF Jr. The role of arthrography in the management of dysplasia epiphysealis hemimelica. Skeletal Radiol 1986;15:224-7. PMID:3704677, doi:10.1007/BF00354065

14. Azouz EM, Slomic AM, Marton D, Rigault P, Finidori G. The variable manifestations of dysplasia epiphysealis hemimelica. Pediatr Radiol 1985;15:44-9. doi:10.1007/bf02387852

15. Chiodin L, Marin F, Slullitel J A. Displasia epifisaria hemimélica. Bol Trab Soc Argent Ortop Traumatol 1970;35(3):231-7; 238-9.

16. Bahk WJ, Lee HY, Kang YK, Park JM, Chun KA, Chung YG. Dysplasia epiphysealis hemimelica: radiographic and magnetic resonance imaging features and clinical outcome of complete and incomplete resection. Skeletal Radiol 2010;39:85-90. doi: 10.1007/s00256-009-0803-x

17. Acquaviva A, Municchi G, Marconcini S, Mazzarella F, Occhini R, Toti P, et al. Dysplasia epiphysealis hemimelica in a young girl: role of MRI in the diagnosis and follow-up. Joint Bone Spine 2005;72:183-6. PMID: 15797503, doi: 10.1016/j.jbspin.2004.04.003

18. Gökkus K, Atmaca H, Sagtas E, Saylik M, Aydin AT. Trevor’s disease: up-to-date review of the literature with case series. J Pediatr Orthop B 2017;26(6):532-45. PMID: 27082230,
doi: 10.1097/BPB.0000000000000269

19. Masquijo JJ, Willis B. Displasia epifisaria hemimélica (enfermedad de Trevor). Arch Argent Pediatr 2010;108(1):e20-e23. https://www.sap.org.ar/docs/publicaciones/archivosarg/2010/v108n1a18.pdf

20. Bakerman K, Letts M, Lawton L. Dysplasia epiphysealis hemimelica of the ankle in children. Can J Surg 2005;48:66-8. PMID: 15757042 PMCID: PMC3211561