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Case Reports
. 2015 Sep 30:2015:bcr2015211077.
doi: 10.1136/bcr-2015-211077.

Dysplasia epiphysealis hemimelica of the ankle: a fracture-like rare developmental disorder

Yvonne-Mary Papamerkouriou  1 , Ioannis Orfanos  2 , Eleftherios Tsiridis  3 , John Anastasopoulos  4
Affiliations
Case Reports

Dysplasia epiphysealis hemimelica of the ankle: a fracture-like rare developmental disorder

Yvonne-Mary Papamerkouriou et al. BMJ Case Rep. .

Abstract

Dysplasia epiphysealis hemimelica is a rare developmental disorder which affects the epiphyses. We report a case of the disease located in the ankle joint, referred to our clinic with the initial misdiagnosis of a Salter-Harris 3 type fracture of the distal epiphysis of the tibia. After correct diagnosis, the patient was treated surgically with the excision of the cartilaginous masses. Taking an accurate medical history and performing adequate imaging studies is essential in diagnosing and treating this disease. Fracture-like epiphyseal configurations in patients with no history of injury should raise suspicion of periarticular developmental disorders.

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Figures

Figure 1
Figure 1
Lateral X-ray of the ankle.
Figure 2
Figure 2
Anteroposterior X-ray of the ankle.
Figure 3
Figure 3
Three-dimensional CT scan reconstruction; anteroposterior view of the ankle.
Figure 4
Figure 4
Three-dimensional CT scan reconstruction; lateral view of the ankle.
Figure 5
Figure 5
CT scan; lateral view of the ankle.
Figure 6
Figure 6
Surgical approach of ankle.
Figure 7
Figure 7
Tumours from ankle after surgical removal.
Figure 8
Figure 8
Postoperative mortise view X-ray.
Figure 9
Figure 9
Postoperative lateral X-ray.
Figure 10
Figure 10
Follow-up mortise view X-ray.
Figure 11
Figure 11
Follow-up lateral X-ray.
See this image and copyright information in PMC

References

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