Dysplasia epiphysealis hemimelica combined with contralateral accessory scaphoid bone

Abstract

Rationale:Dysplasia epiphysealis hemimelica (DEH), also known as Trevor disease, is a rare, developmental bone disorder of childhood.Patient concerns:A 9-year-old girl was admitted due to pain in front of the medial malleolus of her right foot after a long walk or distance movement, in which the pain could be relieved after rest, while it was repeated and lasted for several months.Diagnosis:Dysplasia epiphysealis hemimelicaInterventions:The patient underwent an open resection surgery. After operation, the pain was totally relieved. Postoperative pathological diagnosis showed DEH.Outcomes:At the 6-month follow-up, pain and claudication symptoms fully disappeared, and range of motion of the right foot returned to normal level.Conclusions:Dysplasia epiphysealis hemimelica is an uncommon disease which can cause pain of foot in children.Lessons:When the pediatric orthopedic surgeon treated the children suffered with foot pain should be aware of this rare disease, especially accessory scaphoid bone was found in another foot.