Dysplasia epiphysealis hemimelica: A case report

Dalibor V. Jovanović; Milena B. Ilic; Miloš Z. Milosavljević; Zorica Mihajlović; Radiša H. Vojinović; Slobodanka Lj. Mitrović; Goran Azanjac

doi:10.2298/3225

Dalibor V. Jovanović Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia
Milena B. Ilic Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia
Miloš Z. Milosavljević Department of Pathology, Clinical Center Kragujevac, Kragujevac, Serbia
Zorica Mihajlović Department of Pathology, Clinical Center Kragujevac, Kragujevac, Serbia
Radiša H. Vojinović Department of Radiology, Clinical Center Kragujevac, Kragujevac, Serbia
Slobodanka Lj. Mitrović Faculty of Medical Science, University of Kragujevac, Kragujevac, Serbia; Department of Pathology, Clinical Center Kragujevac, Kragujevac, Serbia
Goran Azanjac Clinic of Surgery, Clinical Center Kragujevac, Kragujevac, Serbia

DOI: https://doi.org/10.2298/3225

Ključne reči: osteochondrodysplasias||, ||osteohondrodisplazije, talus||, ||talus, pain||, ||bol, diagnosis||, ||dijagnoza, orthopedic procedures||, ||ortopedske procedure, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod. Hemimelična epifizealna displazija, takođe poznata i kao Trevorova bolest, ekstremno je redak poremećaj razvoja skeleta nepoznate etiologije, koji se karakteriše koštanohrskavičavom proliferacijom, lokalizovanom na jednoj ili više epifiza ili na talusu, u toku detinjstva. Prikaz bolesnika. U radu je prikazan bolesnik sa hemimeličnom epifizealnom displazijom lokalizovanom na talusu. Kod 6-godišnjeg dečaka bolest se prezentovala otokom desnog skočnog zgloba, bolom i otežanim pokretima. Radiografija je ukazala na postojanje izrasline na dorzomedijalnoj strani talusa. Tumor je ekscidiran, a makroskopski i histološki nalaz bio je identičan osteohondromu. Zaključak. Hemimelična epifizealna displazija se dijagnostikuje kliničkim, radiološkim i patohistološkim pregledom. Rana dijagnoza je važna, da bi se pravovremenom terapijom sprečio nastanak deformiteta.

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