Dysplasia epiphysealis hemimelica (DEH) or Trevor’s illness is a pediatric bone growth disorder, It is uncommon, and there is little clinical knowledge of it. The majority of cases are identified before the age of 8.
1. The osteocartilaginous lesion is essentially surgically removed to treat DEH, typically by a pediatric orthopedic surgeon.
2. Some experts advise conservative treatment for early, asymptomatic lesions and surgery for lesions that are painful and linked to abnormalities of the joints.
3. Others suggested early resection, even in asymptomatic youngsters, to avoid joint issues down the road.
4. Any injury to the pre-existing cartilage should be avoided during surgery. The existence of a cleft or separation between the mass and the healthy cartilage on the MRI may make it easier for the surgeon to remove the lesion.
5. Although unusual, recurrence has been documented. Some kids with partial resections might recover well and not need further surgery.
6. Recent medical publications describe arthroscopic surgery used to remove DEH lesions. Although there isn't much experience with this method, it should be taken into consideration when treating intra-articular lesions.
7. Depending on the location, size, and length of the condition in some cases of DEH, other forms of treatment may be required.
Pain in the hip and thigh,Tightness in the hip joint,Swelling of the joint, which may be painful,A waddling gait
Traumatic injury to the spine or pelvis,Fractures in the lower back,Spinal cord tumors (such as neurofibromatosis),Spinal infections like meningitis or tuberculosis,Bone cancer,Multiple sclerosis (MS)
Phenylbutazone,Flunixin meglumine,Sulfa drugs,Nandrolone decanoate,Dexamethasone