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Case Reports in Orthopedics
Volume 2014, Article ID 940360, 8 pages
http://dx.doi.org/10.1155/2014/940360
Case Report

Trevor’s Disease: A Literature Review regarding Classification, Treatment, and Prognosis apropos of a Case

1Orthopedic Department, Queen’s Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UK
22nd Department of Orthopaedics, School of Medicine, Athens University, Agia Olga Hospital, 3-5 Agias Olgas Street, 142 33 Athens, Greece

Received 3 March 2014; Accepted 5 June 2014; Published 24 June 2014

Academic Editor: Kaan Erler

Copyright © 2014 Georgios Arealis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Dysplasia epiphysealis hemimelica (DEH) is rare and its main characteristic is osteochondromas of the epiphysis of long bones. Methods. We report a case of DEH of the ankle in an 8-year-old boy that was resected in 2005. Additionally we collect all the reported cases of DEH. The literature is reviewed regarding the treatment, prognosis, long term function, and patterns and areas affected by DEH. Results. In our case no complications were noted and our patient remains asymptomatic. Reviewing the literature we found that 73 authors have reported 144 cases from 1926 to 2013. We propose and describe a new classification that correlates with prognosis. According to our classification DEH is classified as types 1 with single lower limb involvement, 2 with multiple lower limb, 3 with single upper limb, 4 with multiple upper limb, 5 with upper and lower limb, and 6 with spine. Conclusions. All single lesions should be followed up and if indicated a whole body nuclear bone scan can be useful in identifying the existence of multiple affected joints. Type 1 lesions have better prognosis than 2 and have less chances of developing OA even if not resected. Resection, even if partial, can be a successful treatment for DEH.