
Dysplasia epiphysealis hemimelica combined with contralateral accessory scaphoid bone
Author(s) -
Bo Li,
Jie Wen,
Hong Liu,
Sheng Xiao,
Xin Li,
Ke Fang,
Ming Zeng,
Zhongwen Tang,
Shu Cao,
Bo Lee,
Fanling Li
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000017887
Subject(s) - medicine , surgery , orthopedic surgery , dysplasia , foot (prosody) , range of motion , philosophy , linguistics
Rationale: Dysplasia epiphysealis hemimelica (DEH), also known as Trevor disease, is a rare, developmental bone disorder of childhood. Patient concerns: A 9-year-old girl was admitted due to pain in front of the medial malleolus of her right foot after a long walk or distance movement, in which the pain could be relieved after rest, while it was repeated and lasted for several months. Diagnosis: Dysplasia epiphysealis hemimelica Interventions: The patient underwent an open resection surgery. After operation, the pain was totally relieved. Postoperative pathological diagnosis showed DEH. Outcomes: At the 6-month follow-up, pain and claudication symptoms fully disappeared, and range of motion of the right foot returned to normal level. Conclusions: Dysplasia epiphysealis hemimelica is an uncommon disease which can cause pain of foot in children. Lessons: When the pediatric orthopedic surgeon treated the children suffered with foot pain should be aware of this rare disease, especially accessory scaphoid bone was found in another foot.