Dysplasia Epiphysealis Hemimelica (Trevor Disease) of the Patella: A Case Report

JBJS Case Connect. 2020 Jul-Sep;10(3):e20.00003. doi: 10.2106/JBJS.CC.20.00003.

Abstract

Case: We report a rare case of dysplasia epiphysealis hemimelica in an 11-year-old male child involving the patella. The patient noticed swelling in the right knee 6 months before presentation. On evaluation, there was a mass lesion originating from superior pole of the patella extending into the suprapatellar pouch. On opening the knee joint, it was found to be mainly cartilaginous in nature. Surgical excision of the mass was carried out.

Conclusion: Trevor disease should be considered in the differential diagnosis of a mass originating from the patella in children. The recommended treatment is complete excision of the mass.

Publication types

  • Case Reports

MeSH terms

  • Bone Diseases, Developmental / diagnostic imaging*
  • Bone Diseases, Developmental / pathology
  • Bone Diseases, Developmental / surgery
  • Child
  • Femur / abnormalities*
  • Femur / diagnostic imaging
  • Femur / pathology
  • Femur / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Orthopedic Procedures
  • Patella / diagnostic imaging*
  • Patella / pathology
  • Patella / surgery
  • Tibia / abnormalities*
  • Tibia / diagnostic imaging
  • Tibia / pathology
  • Tibia / surgery
  • Tomography, X-Ray Computed

Supplementary concepts

  • Dysplasia epiphysealis hemimelica