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CASE REPORT
Dysplasia epiphysealis hemimelica of the ankle: a fracture-like rare developmental disorder
  1. Yvonne-Mary Papamerkouriou1,
  2. Ioannis Orfanos2,
  3. Eleftherios Tsiridis3,
  4. John Anastasopoulos4
  1. 12nd Orthopaedic Department, Athens Children's Hospital Aghia Sophia, Athens, Greece
  2. 2General Hospital of Rhodes, Rhodes, Greece
  3. 3Agios Loukas Clinic, Thessaloniki, Greece
  4. 4Athens Children's Hospital Aghia Sophia, Athens, Greece
  1. Correspondence to Dr Yvonne-Mary Papamerkouriou, ympapamerkouriou{at}yahoo.gr

Summary

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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