Trevor disease

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Trevor disease
Synonyms	Dysplasia epiphysealis hemimelica, Fairbank's disease
Pronounce	N/A
Specialty	Orthopedic surgery
Symptoms	Limb deformity, joint pain, limping
Complications	N/A
Onset	Childhood
Duration	Chronic
Types	N/A
Causes	Unknown
Risks
Diagnosis	X-ray, MRI
Differential diagnosis	Osteochondroma, Multiple hereditary exostoses
Prevention	N/A
Treatment	Surgery
Medication	Pain management
Prognosis	Variable
Frequency	Rare
Deaths	N/A

Trevor disease, also known as dysplasia epiphysealis hemimelica (DEH), is a rare congenital disorder characterized by the abnormal growth of cartilage on one side of the epiphysis of long bones. This condition typically affects the lower extremities, particularly the ankle and knee joints, and is often diagnosed in children and adolescents.

Presentation

Trevor disease manifests as an asymmetrical overgrowth of cartilage, leading to deformities and functional impairments. Common symptoms include:

• Pain and swelling in the affected joint
• Limited range of motion
• Limb length discrepancy
• Joint deformity

Diagnosis

The diagnosis of Trevor disease is primarily based on clinical examination and imaging studies. X-ray imaging is commonly used to identify the characteristic cartilaginous overgrowth. In some cases, MRI or CT scan may be employed to provide a more detailed assessment of the extent of the lesion.

Treatment

Treatment options for Trevor disease depend on the severity of the condition and the symptoms presented. They may include:

• Observation and regular monitoring for mild cases
• Surgical intervention to remove the abnormal cartilage and correct deformities
• Physical therapy to improve joint function and mobility

Prognosis

The prognosis for individuals with Trevor disease varies. Early diagnosis and appropriate treatment can lead to significant improvements in joint function and quality of life. However, some individuals may experience persistent symptoms or require multiple surgical procedures.

See also

• Congenital disorder
• Epiphysis
• Cartilage
• X-ray
• MRI
• CT scan
• Physical therapy

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