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BMJ Case Rep. 2012 Nov 21;2012. pii: bcr2012007259. doi: 10.1136/bcr-2012-007259.

Dysplasia epiphysealis hemimelica: a huge articular mass with unpredictable surgical results.

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  • 1Department of Orthopaedics, Chiang Mai University, Thailand.


Dysplasia epiphysealis hemimelica or Trevor's disease is a rare disorder of localised osteochondral overgrowth affecting the epiphysis of extremities. This paper reports a 12-year-old boy presenting with a large bony mass at the left ankle diagnosed as dysplasia epiphysealis hemimelica. The articular surface of the ankle joint of the patient was evaluated with preoperative and postoperative MRIs. The 2-year postoperative MRI showed early osteoarthritis of the ankle, therefore demonstrating the importance of early excision avoiding more complex resections of intra-articular lesions.

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