Document Type: CASE REPORT

Authors

1 Department of Orhthopedic Surgry Dr Bahonar University Hospital Kerman Medical University, Kerman, Iran

2 Department of Orhthopedic Surgry Dr Bahonar University Hospital Kerman Medical University, Kerman, Iran

Abstract

Dysplasia epiphysealis hemimelica is a rare nonhereditary epiphyseal disease that mimics synovial chondromatosis
and osteochondroma of the joints. The disease mainly involves long bones of the lower extremities and tarsal bones.
Herein we report 21-year old woman who presented with pain and limited range of ankle motion, who underwent
surgical excision of talus exostosis after preoperative imaging and careful planning. after that she was discharged and
her problem improved and she have no problem in three year follow up .pathologic examination of specimen confirm
the diagnosis.

Keywords

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

  • Keret D, Spatz DK, Caro PA, Mason DE. Dysplasia epiphysealis hemimelica: diagnosis and treatment. J Pediatr Orthop. 1992;12:365-72.

  • Kuo RS, Bellemore MC, Monsell FP, Frawley K, Kozlowski K. Dysplasia epiphysealis hemimelica: clinical features and management. J Pediatr Orthop.1998;18:543-8.

  • Tachdjian M. Pediatric Orthopedics. 4th ed. Philadelphia: WB Saunders Co; 2008. pp:1096-100.

  • Bullough P. Orthopaedic Pathology. London: Mosby-Wolfe; 1997. pp: 1312-56.

  • Keret D, Spatz DK, Caro PA, Mason DE. Dysplasia epiphysealis hemimelica: diagnosis and treatment. J Pediatr Orthop. 1992; 12:365-72.

  • Kuo RS, Bellemore MC, Monsell FP, Frawley K, Kozlowski K. Dysplasia epiphysealis hemimelica: clinical features and management. J Pediatr Orthop.1998;18:543-8.

  • Wiart E, Budzik JF, Fron D, Heraux B. Bilateral Dysplasia epiphysealis hemimelica of talus associated with lower leg intramuscular cartilaginous mass. pediatr Radiol. 2012;42(4):503-7.

  • Douira-Khomsi WI, Louati H, Mormech y, Saied W, Bouchoucha S, Seida A, et al. Dysplasia epiphysealis hemimelica: a report of four cases. J Foot Ankle surg. 2011;1(1):37-43

  • Bhosale SK, Dholakia DB, Sheth BA, Srivastava SK.    Dysplasia epiphysealis hemimelica of the talus: two case reports. J Orthop Surg. 2005; 13:79–82.

  • Campanacci M. Bone and soft tissue tumors. 2nd ed. New York: Springer; 1998. pp: 207–11.

  • Fletcher C, Unni K, Mertens F (eds). Pathology and genetics of tumours of soft tissue and bone. Geneva: World Health Organization; 2006.

  • Ouvang Z, Xu M, Peng D. Dysplasia epiphysealis hemimelica with involvement of distal tibia physis and talus:reccurence of a case and literature review. J Foot Ankle surg. 2014;53(2):199-201.

  • Glick R, Khaldi L, Ptaszynski K, Steiner GC. Dysplasia epiphysealis hemimelica (Trevor disease): a rare developmental disorder of bone mimicking osteochondroma of long bones. Hum Pathol. 2007;38:1265–72.