Dysplasia Epiphysealis Hemimelica Treated with Osteochondral Allograft: A Case Report

Chris A Anthony; Brian R Wolf

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Dysplasia Epiphysealis Hemimelica Treated with Osteochondral Allograft: A Case Report

Journal article

Open access

Peer reviewed

Dysplasia Epiphysealis Hemimelica Treated with Osteochondral Allograft: A Case Report

Chris A Anthony and Brian R Wolf

The Iowa orthopaedic journal, Vol.35, pp.42-48

2015

PMCID: PMC4492132

PMID: 26361443

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492132View

Published (Version of record) Open Access

Abstract

Dysplasia epiphysealis hemimelica (DEH), or Trevor's disease, is a developmental disorder of the pediatric skeleton characterized by asymmetric osteochondral overgrowth. We present the case of a five year old boy with a two year history of right knee pain and evidence of DEH on imaging who underwent initial arthroscopic resection of his lesion with subsequent recurrence. The patient then underwent osteochondral allograft revision surgery and was asymptomatic at two year follow-up with a congruent joint surface. To our knowledge, this is the first reported case of a DEH lesion treated with osteochondral allograft and also the youngest reported case of osteochondral allograft placement in the literature. Osteochondral allograft may be a viable option in DEH and other deformities of the pediatric knee. Level V.

Allografts

Arthralgia - diagnosis

Arthralgia - etiology

Arthroscopy - methods

Bone Diseases, Developmental - diagnosis

Bone Diseases, Developmental - surgery

Bone Transplantation - methods

Cartilage - transplantation

Child, Preschool

Femur - abnormalities

Femur - surgery

Follow-Up Studies

Graft Survival

Humans

Knee Joint - physiopathology

Knee Joint - surgery

Magnetic Resonance Imaging - methods

Male

Pain Measurement

Severity of Illness Index

Tibia - abnormalities

Tibia - surgery

Tomography, X-Ray Computed - methods

Treatment Outcome

Details

Title: Subtitle: Dysplasia Epiphysealis Hemimelica Treated with Osteochondral Allograft: A Case Report
Creators: Chris A Anthony - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics , 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242 , USA
Brian R Wolf - University of Iowa
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.35, pp.42-48
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 26361443
PMCID: PMC4492132
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2015
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
Record Identifier: 9984295048602771

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