Diagnosis and surgical treatment of dysplasia epiphysealis hemimelica. A report of nine cases

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dc.contributor.author Assi, C.
dc.contributor.author Bosch, C.
dc.contributor.author Louahem, D.
dc.contributor.author Alkar, F.
dc.contributor.author Mazeau, P.
dc.contributor.author Delfour, C.
dc.contributor.author Canavese, F.
dc.contributor.author Prodhomme, O.
dc.contributor.author Cottalorda, J.
dc.date.accessioned 2017-02-23T10:23:15Z
dc.date.available 2017-02-23T10:23:15Z
dc.date.copyright 2014 en_US
dc.date.issued 2017-02-23
dc.identifier.issn 1877-0568 en_US
dc.identifier.uri http://hdl.handle.net/10725/5267
dc.description.abstract Background: Dysplasia epiphysealis hemimelica (DEH) is a rare developmental bone disorder with hemimelic involvement of one or more epiphysis. We report on nine new cases and discuss the clinical manifestations, the value of MRI, and the results of complete and early surgical resection of these lesions. Materials and methods: In this retrospective study, nine patients with a diagnosis of DEH were evaluated. Age at presentation ranged from 1 year to 12 years. The main complaint at diagnosis was a swelling bony mass. Angular deformities were recorded in two patients. All patients were surgically treated and followed up clinically and by imaging. Eight patients underwent excision only. Results: The average follow-up was 5.6 years (range, 2–10.5 years). All patients had a good outcome without related symptoms. No epiphysiodesis, angular deformity or recurrence was observed. One patient with femoral lesion involving the distal medial part of the epiphysis developed, four months after surgical excision, a calcification outside the area of total excision. This calcification did not increase in size at two years follow-up. Another patient with lateral involvement of the proximal tibial epiphysis presented a postoperative nervous complication. Spontaneous nervous recovery occurred three months after surgery. Discussion: MRI was useful to find a potential plane of cleavage between the epiphysis and the pathological tissue. We recommend early removing ossifications when a cleavage plane is identified. Waiting a possible complication or increasing of size does not seem logical. Of course, the treatment will be not the same if no cleavage plane is found on MRI. en_US
dc.language.iso en en_US
dc.title Diagnosis and surgical treatment of dysplasia epiphysealis hemimelica. A report of nine cases en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201004807 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Orthopaedics & Traumatology: Surgery & Research en_US
dc.journal.volume 100 en_US
dc.journal.issue 8 en_US
dc.article.pages 941-946 en_US
dc.keywords Dysplasia epiphysealis hemimelica en_US
dc.keywords Trevor's disease en_US
dc.keywords Bone tumo en_US
dc.keywords Children en_US
dc.identifier.doi http://dx.doi.org/10.1016/j.otsr.2014.07.022 en_US
dc.identifier.ctation Bosch, C., Assi, C., Louahem, D., Alkar, F., Mazeau, P., Delfour, C., ... & Cottalorda, J. (2014). Diagnosis and surgical treatment of dysplasia epiphysealis hemimelica. A report of nine cases. Orthopaedics & Traumatology: Surgery & Research, 100(8), 941-946. en_US
dc.author.email chahine.assi@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.sciencedirect.com/science/article/pii/S1877056814002709 en_US
dc.author.affiliation Lebanese American University en_US

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