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A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease

INTRODUCTION: Hereditary multiple exostoses (HME) disease is hallmarked by cartilaginous osteochondromas secondary to an autosomal dominant mutation within the exostosin gene family. These outgrowths predominantly occur around the long bone physis. An associated disease is dysplasia epiphysealis hem...

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Autores principales: Torrez, Timothy W, Marks, Elizabeth, Strom, Shane, Doyle, John Scott
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930384/
https://www.ncbi.nlm.nih.gov/pubmed/35415146
http://dx.doi.org/10.13107/jocr.2021.v11.i12.2558
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author Torrez, Timothy W
Marks, Elizabeth
Strom, Shane
Doyle, John Scott
author_facet Torrez, Timothy W
Marks, Elizabeth
Strom, Shane
Doyle, John Scott
author_sort Torrez, Timothy W
collection PubMed
description INTRODUCTION: Hereditary multiple exostoses (HME) disease is hallmarked by cartilaginous osteochondromas secondary to an autosomal dominant mutation within the exostosin gene family. These outgrowths predominantly occur around the long bone physis. An associated disease is dysplasia epiphysealis hemimelica also known as Trevor’s disease. Trevor’s disease is hallmarked by intra-articular osteochondromas. While the two diseases are similar, they are not genetically related and often have differing patient presentations. CASE REPORT: We report on a case of a 7-year-old female with a familial history significant for HME that presented with an isolated chief complaint of elbow extension block secondary to osteochondromas found both intra-articular and at the olecranon fossa. We present what could be one of the first cases of coexisting HME and Trevor’s disease of the upper extremity. CONCLUSION: Our patient’s unique presentation of an intra-articular osteochondroma speculated to be a result of Trevor’s disease, in the presence of an established HME diagnosis. Management for this patient did not deviate heavily from the established approach for HME which entails conservative observation until symptomatic. Due to the substantial loss of range of motion (ROM), surgical intervention took place in the form of exostoses removal and necessary reconstruction of the fossa. The patient’s ROM subsequently was restored to near normal.
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spelling pubmed-89303842022-04-11 A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease Torrez, Timothy W Marks, Elizabeth Strom, Shane Doyle, John Scott J Orthop Case Rep Case Report INTRODUCTION: Hereditary multiple exostoses (HME) disease is hallmarked by cartilaginous osteochondromas secondary to an autosomal dominant mutation within the exostosin gene family. These outgrowths predominantly occur around the long bone physis. An associated disease is dysplasia epiphysealis hemimelica also known as Trevor’s disease. Trevor’s disease is hallmarked by intra-articular osteochondromas. While the two diseases are similar, they are not genetically related and often have differing patient presentations. CASE REPORT: We report on a case of a 7-year-old female with a familial history significant for HME that presented with an isolated chief complaint of elbow extension block secondary to osteochondromas found both intra-articular and at the olecranon fossa. We present what could be one of the first cases of coexisting HME and Trevor’s disease of the upper extremity. CONCLUSION: Our patient’s unique presentation of an intra-articular osteochondroma speculated to be a result of Trevor’s disease, in the presence of an established HME diagnosis. Management for this patient did not deviate heavily from the established approach for HME which entails conservative observation until symptomatic. Due to the substantial loss of range of motion (ROM), surgical intervention took place in the form of exostoses removal and necessary reconstruction of the fossa. The patient’s ROM subsequently was restored to near normal. Indian Orthopaedic Research Group 2021-12 /pmc/articles/PMC8930384/ /pubmed/35415146 http://dx.doi.org/10.13107/jocr.2021.v11.i12.2558 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Torrez, Timothy W
Marks, Elizabeth
Strom, Shane
Doyle, John Scott
A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title_full A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title_fullStr A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title_full_unstemmed A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title_short A Case Report of Trevor’s Disease in a Pediatric Patient with Hereditary Multiple Exostoses Disease
title_sort case report of trevor’s disease in a pediatric patient with hereditary multiple exostoses disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930384/
https://www.ncbi.nlm.nih.gov/pubmed/35415146
http://dx.doi.org/10.13107/jocr.2021.v11.i12.2558
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