EURORAD ESR

Case 15332

Case report of Bilateral Dysplasia Epiphysealis Hemimelica (DEH) of talus

Author(s)
Yohei Tomaru, Makoto Kamegaya, Mitsuaki Morita, Hiroshi Kamada, Yuta Tsukagoshi,
Shogo Nakagawa, Masashi Yamazaki

1. Department of Orthopaedic surgery, Facility of Medicine, University of Tsukuba
2. Chiba Children and Adult Orthopaedic Clinic
 
Patient
male, 5 year(s)
 
 
  • Figure 1
    Photographs from posteromedial side.
     

    Photographs from posteromedial side. Hump of talus and flat foot was recognized. a: left foot

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CAD; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    b: right foot

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CAD; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    Plane AP radiograph

    Plane AP radiograph of both ankles (coronal view) revealed deformities of talus and bony hump of medial side of talus with slight punctate change (arrows).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 3
    Plane AP radiograph of feet (axial view)

    Plane AP radiograph of feet (axial view) revealed deformity of talus and bony hump of medial side of talus with slight punctate change (arrows).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 4
    Younger sister’s plain AP radiograph

    His younger sister’s plain AP radiograph of both ankle. Bone hump formation in medial side of talus was also seen.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 5
    Plane MRI coronal view
     

    Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T2WI, right (a)

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T2WI, left (b)

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T1WI, right (c)

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T1WI, left (d)

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 6
    Plane MRI sagittal view
     

    Saggital view of plane MRI T1WI revealed no dislocation of talonavicular joint (arrow).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Saggital view of plane MRI T1WI revealed no dislocation of talonavicular joint (arrow).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 7
    5 cases reported in the past and current study.

    Location, presence of mirror lesion, radiographic, MRI, pathological finding and comorbidity of 5 cases reported in the past and current study.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CAD; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
Photographs from posteromedial side. Hump of talus and flat foot was recognized. a: left foot
 
b: right foot
 
Plane AP radiograph of both ankles (coronal view) revealed deformities of talus and bony hump of medial side of talus with slight punctate change (arrows).
 
Plane AP radiograph of feet (axial view) revealed deformity of talus and bony hump of medial side of talus with slight punctate change (arrows).
 
His younger sister’s plain AP radiograph of both ankle. Bone hump formation in medial side of talus was also seen.
 
Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T2WI, right (a)
 
Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T2WI, left (b)
 
Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T1WI, right (c)
 
Plane MRI (coronal view) revealed iso-intense lesion at both medial side of talus in T1WI, left (d)
 
Saggital view of plane MRI T1WI revealed no dislocation of talonavicular joint (arrow).
 
Saggital view of plane MRI T1WI revealed no dislocation of talonavicular joint (arrow).
 
Location, presence of mirror lesion, radiographic, MRI, pathological finding and comorbidity of 5 cases reported in the past and current study.
 
 
 
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