Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function

Dysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction....

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Main Authors: Vincenzo Giordano, Marcos Giordano, Carolina Giordano, José Giordano, Renato Mendonça, Hilton Augusto Koch
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2019/5356246
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author Vincenzo Giordano
Marcos Giordano
Carolina Giordano
José Giordano
Renato Mendonça
Hilton Augusto Koch
author_facet Vincenzo Giordano
Marcos Giordano
Carolina Giordano
José Giordano
Renato Mendonça
Hilton Augusto Koch
author_sort Vincenzo Giordano
collection DOAJ
description Dysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction. This case highlights the importance of stratification into intra- and extra-articular lesions, as this distinction ultimately influences both symptoms and treatment outcome. In addition, the case highlights the importance of specific imaging modalities, such as CT and MR images, which provide excellent anatomic location of the lesion, adequate extension of cartilaginous components, exact status of articular cartilage, and accurate assessment of neighboring structures, such as vessels, nerves, ligaments, tendons, and muscles. The imaging features are described, the relevant literature is reviewed, and salient features are discussed.
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publishDate 2019-01-01
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series Case Reports in Radiology
spelling doaj-art-aadea5ca29b94b7eb5f94bf81fc7271c2025-08-20T02:20:54ZengWileyCase Reports in Radiology2090-68622090-68702019-01-01201910.1155/2019/53562465356246Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal FunctionVincenzo Giordano0Marcos Giordano1Carolina Giordano2José Giordano3Renato Mendonça4Hilton Augusto Koch5Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, BrazilServiço de Traumato-Ortopedia, Hospital de Força Aérea do Galeão, Rio de Janeiro, BrazilUNIGRANRIO, Rio de Janeiro, BrazilCOFIG, Rio de Janeiro, BrazilServiço de Radiologia, Rede D’Or São Luiz, Rio de Janeiro, BrazilDepartamento de Radiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilDysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction. This case highlights the importance of stratification into intra- and extra-articular lesions, as this distinction ultimately influences both symptoms and treatment outcome. In addition, the case highlights the importance of specific imaging modalities, such as CT and MR images, which provide excellent anatomic location of the lesion, adequate extension of cartilaginous components, exact status of articular cartilage, and accurate assessment of neighboring structures, such as vessels, nerves, ligaments, tendons, and muscles. The imaging features are described, the relevant literature is reviewed, and salient features are discussed.http://dx.doi.org/10.1155/2019/5356246
spellingShingle Vincenzo Giordano
Marcos Giordano
Carolina Giordano
José Giordano
Renato Mendonça
Hilton Augusto Koch
Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
Case Reports in Radiology
title Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
title_full Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
title_fullStr Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
title_full_unstemmed Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
title_short Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function
title_sort asymptomatic dysplasia epiphysealis hemimelica of the shoulder in a skeletally mature patient with normal function
url http://dx.doi.org/10.1155/2019/5356246
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