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Trevor's disease: the clinical manifestations and treatment of dysplasia epiphysealis hemimelica

Smith, Eric L.b; Raney, Ellen M.a; Matzkin, Elizabeth G.c; Fillman, Ramona R.a; Yandow, Suzanne M.a c

Journal of Pediatric Orthopaedics B: July 2007 - Volume 16 - Issue 4 - p 297-302
doi: 10.1097/BPB.0b013e328092563f

Trevor's disease is a rare abnormality characterized by aberrant osteocartilaginous growth from an epiphysis. We describe six new cases from our institution. A patient with isolated tibial tuberosity involvement is described for the first time. Each patient was classified according to Azouz into localized (three), classical (two) and generalized (one) form. We recommend that parents be counseled regarding the progressive nature of this disorder owing to the chance of worsening deformity with surgical excision alone, and the need to be followed until skeletal maturity.

aShriners Hospital for Children

bTripler Army Medical Center

cJohn A. Burns School of Medicine, University of Hawaii, University Tower, Honolulu, Hawaii

Correspondence to Chief of Staff Ellen M. Raney, MD, Shriners Hospital for Children, 1310 Punahou Street, Honolulu, HI 96826-1099, Hawaii

Tel: +808 951 3638; fax: +808 942 8573;


© 2007 Lippincott Williams & Wilkins, Inc.