The Natural History of the Development of Trevor Disease of the Hip and Subsequent Arthroplasty: A Case Report
| Autor: | Mahzad Javid, G H Shahcheraghi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty medicine.medical_treatment Arthroplasty 03 medical and health sciences Femoral head Intraoperative Period 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Femur Tibia 030222 orthopedics Bone Diseases Developmental Hip business.industry Acetabulum 030229 sport sciences medicine.disease Surgery Leg Length Inequality Natural history Radiography medicine.anatomical_structure Treatment Outcome Trevor disease Epiphysis business Epiphyses |
| Zdroj: | JBJS case connector. 7(3) |
| ISSN: | 2160-3251 |
| Popis: | Case Trevor disease (dysplasia epiphysealis hemimelica [DEH]) is a rare, intra-articular anomaly of cartilaginous overgrowth of the epiphysis. The usual presentation is on 1 side of the body and on 1 side of the epiphysis. The natural history of this disease is not clear because the lesions often are treated during childhood. Additionally, hip involvement is relatively uncommon; to our knowledge, total hip arthroplasty in a patient with DEH has not been reported previously. Our patient presented with previously untreated DEH of the hip joint, which had developed into a very unusual shape. He was treated with a total hip arthroplasty and had satisfactory functioning 2.5 years postsurgery. Conclusion Untreated DEH of the hip can lead to a very misshapen hip with a deformed femoral head and loss of the shape of the acetabulum, as well as stiffness due to an unusual shape and osteoarthritic changes. A total hip arthroplasty can give satisfactory functional results. |
| Databáze: | OpenAIRE |
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