Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case
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 literatu...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/940360 |
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| _version_ | 1849401248786153472 |
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| author | Georgios Arealis Vassilios S. Nikolaou Andrew Lacon Neil Ashwood Keith Hayward Charalampos Karagkevrekis |
| author_facet | Georgios Arealis Vassilios S. Nikolaou Andrew Lacon Neil Ashwood Keith Hayward Charalampos Karagkevrekis |
| author_sort | Georgios Arealis |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8a27384edbba4debbf41f0162fe7030b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-8a27384edbba4debbf41f0162fe7030b2025-08-20T03:37:49ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/940360940360Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a CaseGeorgios Arealis0Vassilios S. Nikolaou1Andrew Lacon2Neil Ashwood3Keith Hayward4Charalampos Karagkevrekis5Orthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UK2nd Department of Orthopaedics, School of Medicine, Athens University, Agia Olga Hospital, 3-5 Agias Olgas Street, 142 33 Athens, GreeceOrthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UKOrthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UKOrthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UKOrthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UKBackground. 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.http://dx.doi.org/10.1155/2014/940360 |
| spellingShingle | Georgios Arealis Vassilios S. Nikolaou Andrew Lacon Neil Ashwood Keith Hayward Charalampos Karagkevrekis Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case Case Reports in Orthopedics |
| title | Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case |
| title_full | Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case |
| title_fullStr | Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case |
| title_full_unstemmed | Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case |
| title_short | Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case |
| title_sort | trevor s disease a literature review regarding classification treatment and prognosis apropos of a case |
| url | http://dx.doi.org/10.1155/2014/940360 |
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