Abstract
Clinical features and radiographic findings of three patients with dysplasia epiphysealis hemimelica (Trevor disease) are reviewed. In all patients the osteochondromatous lesions grow out from the epiphysis of the ankle joint with single lower extremity involved. The clinical symptoms, localization and roentgenogram are most important factors for confirming diagnosis. One patient presented with ankle varus deformity was found associated partial arrest of the distal tibial growth plate, surgical treatment including three arthrotomy with excision intraarthicular osteochondromatous lesions procedures, and one combined Langenskoid physeal bar excision procedure. Symptoms relieved and ankle function improvement were found in all three patients. MRI can provide further information such as: joint congruous, separation plane between the epiphysis and accessory osteochondromatous lesion; physeal plate growth disturbance conditions, and enabling precise localization and surgical treatment.
The abstracts were prepared by Professor Jegan Krishnan. Correspondence should be addressed to him at the Flinders Medical Centre, Bedford Park 5047, Australia.
