Hiva Mohamadian1, Mansour Bahardoust2,3, Borzouyeh Molazem Sanandaji4, Saba Saberi4. 1. Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. garza.1390@yahoo.com. 2. Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3. Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran. 4. Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract
BACKGROUND: Dysplasia epiphysealis hemimelica (DEH) is a rare benign overgrowth generally affecting the epiphyses and short bones of the lower limbs. DEH in the elbow joint is extremely rare, and to date, only three cases of DEH have been reported in the radial head. CASE PRESENTATION: In this study, we report a case of DEH located in the radial head of the right elbow of a 10-year-old boy, which was presented with elbow pain and limited range of motion. In clinical examination, an asymmetrical enlargement was observed over the elbow. The lesion was resected surgically, and the patient's symptoms resolved afterward. The histologic analysis of the lesion confirmed the diagnosis of DEH. CONCLUSION: This report highlights the role of DEH in the differential diagnosis of elbow pathologies, particularly its differentiation from osteochondroma.
BACKGROUND:Dysplasia epiphysealis hemimelica (DEH) is a rare benign overgrowth generally affecting the epiphyses and short bones of the lower limbs. DEH in the elbow joint is extremely rare, and to date, only three cases of DEH have been reported in the radial head. CASE PRESENTATION: In this study, we report a case of DEH located in the radial head of the right elbow of a 10-year-old boy, which was presented with elbow pain and limited range of motion. In clinical examination, an asymmetrical enlargement was observed over the elbow. The lesion was resected surgically, and the patient's symptoms resolved afterward. The histologic analysis of the lesion confirmed the diagnosis of DEH. CONCLUSION: This report highlights the role of DEH in the differential diagnosis of elbow pathologies, particularly its differentiation from osteochondroma.
Authors: Georgios Arealis; Vassilios S Nikolaou; Andrew Lacon; Neil Ashwood; Keith Hayward; Charalampos Karagkevrekis Journal: Case Rep Orthop Date: 2014-06-24