Dysplasia Epiphysealis Hemimelica Presenting as Multiple Loose Bodies: A Case Report
Clément Jeandel1,2, Tariq Aldugman1, Christophe Delfour2
1Pediatric Orthopaedic Surgery Department, Centre Hospitalier Universitaire Lapeyronie, Montpellier, France.
Case:
A 11-year-old boy with no medical history presented with a protective limp and worsening mechanical pain in his left knee. No recent traumatic or infectious history was reported. Radiographs and ultrasonography showed multiple intra-articular loose bodies with osteocartilaginous signal. Dysplasia epiphysealis hemimelica (DEH) was confirmed by magnetic resonance imaging (MRI) and computed tomography (CT) scan. This is the first report that describes the presence of loose bodies in a knee without previous surgery as a possible case of DEH.
Conclusion:
We emphasize the use of CT scan and MRI before any surgical procedure when intra-articular loose bodies are unexpectedly discovered.
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