Analysis of dysplasia epiphysealis hemimelica (Trevor´s disease) of the ankle.
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
References
Dondoglio MA, D’Assaro O, Diez R, Chiappara J. Displasia epifisaria hemimélica. Actas Trab Soc Argent Med Cir Pie 1985;4:38.
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
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
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
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
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
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
Trevor D. Tarso-epiphysialaclasis: a congenital error of epiphysial development. J Bone Joint Surg Br 1950-32:204-13. PMID: 15422019
Mouchet A, Belot J. La tarsomegalie. J Radiol Electrol 1926;10:289-93.
Fairbank TJ. Dysplasia epiphysealis hemimelica (tarso-epiphysial-aclasis). J Bone Joint Surg Br 1956;38:237-57. doi:10.1302/0301-620X.38B1.237
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
Saxton HM, Wilkinson JA. Hemimelic skeletal dysplasia. J Bone Joint Surg Br 1964;46:608-13. doi:10.1302/0301-620X.46B4.608
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
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
Chiodin L, Marin F, Slullitel J A. Displasia epifisaria hemimélica. Bol Trab Soc Argent Ortop Traumatol 1970;35(3):231-7; 238-9.
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
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
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
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
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
Copyright (c) 2018 Revista de la Asociación Argentina de Ortopedia y Traumatología
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
