Öz
Abstract
Objective: Trevor disease (dysplasia epiphysealis hemimelica) is a rare condition characterized by asymmetric osteochondral growths in the epiphyseal cartilage. It is more common in males and typically affects the ankle and knee areas. This case report evaluates the surgical and pathological findings of a Trevor disease case presenting with a large mass in the left talus.
Methods: An 8-year-old male patient presented with 15 days of pain, swelling, and redness in the left ankle. Radiological evaluations revealed a mass in the talus, initially interpreted as osteochondroma. Surgical intervention was planned with a preliminary diagnosis of Trevor disease.
Results: No movement restrictions were imposed postoperatively. At the 1-year follow-up, no recurrence or degenerative arthritis was observed. Pathological examination confirmed the diagnosis of Trevor disease.
Conclusion: Although Trevor disease is rare, it should be considered as a differential diagnosis in presumed osteochondroma cases. Early diagnosis and appropriate treatment planning are crucial in managing this condition effectively.
Keywords: Trevor disease, Dysplasia epiphysealis hemimelica, Epiphyseal cartilage, Osteochondroma, Ankle
Anahtar Kelimeler
Trevor disease Dysplasia epiphysealis hemimelica Epiphyseal cartilage Osteochondroma Ankle
Kaynakça
- Azouz EM, Slomic AM, Marton D, Riqault P, Finidori G. The variable manifestations of dysplasia epiphysealis hemimelica. Pediatr Radiol 15:44–49, 1985.
- Keret D, Spatz DK, Caro PA, Mason DE. Dysplasia epiphysealis hemimelica: diagnosis and treatment. J Pediatr Orthop 12:365–372, 1992.
- Trevor D. Tarso-epiphyseal aclasis: a congenital error of epiphyseal development. J Bone Joint Surg Br 32-B:204–213, 1950.
- Fairbank TJ. Dysplasia epiphysealis hemimelica (tarsoepiphyseal aclasis). J Bone Joint Surg Br 38-B:237–257, 1956.
- Mouchet A, Belot J. La tarsom_egalie. Foot Ankle Int 10:289– 293, 1926
- Bovee JV, Hameetman L, Kroon HM, et al. EXT-related pathways are not involved in the pathogenesis of dysplasia epiphysealis hemimelica and metachondromatosis. J Pathol 2006;209:411e9
- Perl M, Brenner RE, Lippacher S, et al. Dysplasia epiphysealis hemimelica: a case report with novel pathophysiologic aspects. Clin Orthop Relat Res 2009;467:2472e8.
- Graviet S, Thomas JL. Dysplasia epiphysealis hemimelica affecting the subtalar joint. J Am Podiatr Med Assoc. 1994 Nov;84(11):580-2. doi: 10.7547/87507315-84-11-580. PMID: 7807388.
- Shinozaki T, Ohfuchi T, Watanabe H, Aoki J, Fukuda T, Takagishi K. Dysplasia epiphysealis hemimelica of the proximal tibia showing epiphyseal osteochondroma in an adult. Clin Imaging 23:168–171, 1999.
- Gökkuş K, Atmaca H, Sagtas E, Saylik M, Aydin AT. Trevor's disease: up-to-date review of the literature with case series. J Pediatr Orthop B. 2017 Nov;26(6):532-545. doi: 10.1097/BPB.0000000000000269. PMID: 27082230.
- Imaging of dysplasia epiphysealis hemimelica (Trevor's disease) Tyler, P.A. et al. Clinical Radiology, Volume 68, Issue 4, 415 – 421
- Wiart E, Budzik JF, Fron D, Herbaux B, Boutry N. Bilateral dysplasia epiphysealis hemimelica of the talus associated with a lower leg intramuscular cartilaginous mass. Pediatr Radiol 42:503–507, 2012.
Öz
Özet
Amaç: Trevor hastalığı (displazi epifizialis hemimelica), nadir görülen ve epifizial kartilajda asimetrik osteokondral büyümelerle karakterize bir hastalıktır. Erkeklerde kadınlara göre daha sık görülür ve en yaygın olarak ayak bileği ve diz çevresinde kendini gösterir. Bu vaka sunumunda, sol talusta büyük bir kitle ile başvuran bir Trevor hastalığı vakasının cerrahi ve patolojik bulguları değerlendirilmektedir.
Yöntem: 8 yaşında erkek hasta, sol ayak bileğinde 15 gündür ağrı, şişlik ve kızarıklık şikayetleri ile başvurdu. Radyolojik incelemeler sonucunda talusta yer alan ve osteokondrom olarak yorumlanan kitle tespit edildi. Trevor hastalığı ön tanısı ile cerrahi müdahale gerçekleştirildi.
Bulgular: Postoperatif dönemde hastaya hareket kısıtlaması önerilmedi. 1 yıllık ve 5 yıllık takip sürecinde hastada nüks veya dejeneratif artrit gelişimi saptanmadı. Patoloji incelemesi sonucu Trevor hastalığı tanısı doğrulandı.
Sonuç: Trevor hastalığı nadir görülmesine rağmen, öngörülen osteokondrom vakalarında ayırıcı tanı olarak düşünülmelidir. Bu, erken teşhis ve uygun tedavi süreçlerinin planlanmasında önemli rol oynar.
Anahtar kelimeler; Trevor hastalığı, Displazi epifizialis hemimelica, Epifiz kıkırdağı, Osteokondrom ,Ayak bileği
Anahtar Kelimeler
Trevor hastalığı Displazi epifizialis hemimelica epifiz kıkırdağı osteokondrom ayak bileği
Kaynakça
- Azouz EM, Slomic AM, Marton D, Riqault P, Finidori G. The variable manifestations of dysplasia epiphysealis hemimelica. Pediatr Radiol 15:44–49, 1985.
- Keret D, Spatz DK, Caro PA, Mason DE. Dysplasia epiphysealis hemimelica: diagnosis and treatment. J Pediatr Orthop 12:365–372, 1992.
- Trevor D. Tarso-epiphyseal aclasis: a congenital error of epiphyseal development. J Bone Joint Surg Br 32-B:204–213, 1950.
- Fairbank TJ. Dysplasia epiphysealis hemimelica (tarsoepiphyseal aclasis). J Bone Joint Surg Br 38-B:237–257, 1956.
- Mouchet A, Belot J. La tarsom_egalie. Foot Ankle Int 10:289– 293, 1926
- Bovee JV, Hameetman L, Kroon HM, et al. EXT-related pathways are not involved in the pathogenesis of dysplasia epiphysealis hemimelica and metachondromatosis. J Pathol 2006;209:411e9
- Perl M, Brenner RE, Lippacher S, et al. Dysplasia epiphysealis hemimelica: a case report with novel pathophysiologic aspects. Clin Orthop Relat Res 2009;467:2472e8.
- Graviet S, Thomas JL. Dysplasia epiphysealis hemimelica affecting the subtalar joint. J Am Podiatr Med Assoc. 1994 Nov;84(11):580-2. doi: 10.7547/87507315-84-11-580. PMID: 7807388.
- Shinozaki T, Ohfuchi T, Watanabe H, Aoki J, Fukuda T, Takagishi K. Dysplasia epiphysealis hemimelica of the proximal tibia showing epiphyseal osteochondroma in an adult. Clin Imaging 23:168–171, 1999.
- Gökkuş K, Atmaca H, Sagtas E, Saylik M, Aydin AT. Trevor's disease: up-to-date review of the literature with case series. J Pediatr Orthop B. 2017 Nov;26(6):532-545. doi: 10.1097/BPB.0000000000000269. PMID: 27082230.
- Imaging of dysplasia epiphysealis hemimelica (Trevor's disease) Tyler, P.A. et al. Clinical Radiology, Volume 68, Issue 4, 415 – 421
- Wiart E, Budzik JF, Fron D, Herbaux B, Boutry N. Bilateral dysplasia epiphysealis hemimelica of the talus associated with a lower leg intramuscular cartilaginous mass. Pediatr Radiol 42:503–507, 2012.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Ortopedi |
| Bölüm | Olgu Sunumu/Olgu Serisi |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Nisan 2025 |
| Gönderilme Tarihi | 1 Kasım 2024 |
| Kabul Tarihi | 22 Kasım 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 5 Sayı: 1 |
e-ISSN: 2791-9935