Trevor’s Disease Managed by Epiphyseal Osteotomy and Excision: Novel Surgical Technique

Author:

Regmi Anil1,Garg Varun1,Gowda Rohan1,Maheshwari Vikas K.1,Sharma Cury1,Singh Vivek1

Affiliation:

1. Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India

Abstract

Abstract A number of treatment options for Trevor’s disease based on the patient’s symptoms have been mentioned in the literature. An epiphyseal osteotomy, however, has not yet been covered in any publication report. We report a rare case of Trevor’s illness affecting the fifth metatarsal head, presenting as a painless fifth toe valgus deformity. At 1-year follow-up, treatment options such as osteochondroma excision and medial closing wedge epiphyseal osteotomy produced satisfactory clinical and radiological results. Trevor’s disease can be safely managed with the aforementioned approach, although it does require follow-up until the patient reaches the age of fusion of the epiphysis.

Publisher

Medknow

Reference22 articles.

1. Trevor disease (Hemimelic Epiphyseal Displasia): 12-year follow-up case report and literature review;Baumfeld;Ann Med Health Sci Res,2014

2. Dysplasia epiphysealis hemimelica: a report of four cases;Douira-Khomsi;Foot Ankle Surg,2011

3. Surgical management of dysplasia epiphysealis hemimelica of the posterior medial ankle using a medial malleolar osteotomy: A case report;Bonvillian;Foot and Ankle Surgery: Techniques, Reports and Cases,2021

4. Dysplasia epiphysealis hemimelica (Trevor’s Disease) in children, two new cases: Diagnosis, treatment, and literature review;Ionescu;Children (Basel, Switzerland),2021

5. Trevor’s disease: Up-to-date review of the literature with case series;Gökkuş;J Pediatr Orthop B,2017

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