Epiphyseal Osteochondroma

Also Known As

  • dysplasia epiphysealis hemimelica
  • Trevor’s disease

Epidemiology

  • Very rare

Aetiology

  • Non familial developmental disorder
  • Benign

Presentation

  • Manifests in young children
  • Unilateral enlargement of an epiphysis
  • Most commonly affects lower femur, upper tibia & talus
  • If affecting the proximal femoral epiphysis can be confused with Perthes disease
  • Can cause varus or valgus deformity

Histology

  • resembles an osteochondroma, with a cartilage cap of disorganized cartilage

Treatment

  • surgical excision