{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:16Z","timestamp":1787755456989,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We describe a case of dysplasia epiphysealis hemimelica (DEH) of the anterior tibiotalar joint that presented as toe walking in a 6-year-old boy. Radiographs and magnetic resonance images showed substantial exostosis at the anterior ankle that blocked dorsiflexion. He underwent surgical excision and casting for equinus, restoring ankle range of motion and gait.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although DEH is benign, it can cause major deficits and permanent damage to a joint when neglected. Recognition of subtle presentations of DEH, such as toe walking, is crucial. Early treatment can restore joint motion and prevent deformity and arthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00264","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T15:00:18Z","timestamp":1636642818000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral Toe Walking as Presentation of Unilateral Dysplasia Epiphysealis Hemimelica of the Ankle"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2162-7446","authenticated-orcid":false,"given":"Bo","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-1300","authenticated-orcid":false,"given":"Adam","family":"Margalit","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4692-9531","authenticated-orcid":false,"given":"R. Jay","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3958-7764","authenticated-orcid":false,"given":"Claire E.","family":"Shannon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"6","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1097\/BPB.0000000000000269","article-title":"Trevor's disease: up-to-date review of the literature with case series","volume":"26","author":"G\u00f6kku\u015f","year":"2017","journal-title":"J Pediatr Orthop B."},{"issue":"4","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1097\/01241398-199807000-00028","article-title":"Dysplasia epiphysealis hemimelica: clinical features and management","volume":"18","author":"Kuo","year":"1998","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"216","DOI":"10.3928\/01477447-20150402-01","article-title":"Dysplasia epiphysealis hemimelica (Trevor disease) of the ankle","volume":"38","author":"Nowicki","year":"2015","journal-title":"Orthopedics."},{"issue":"5","key":"bib4-20240805","first-page":"348","article-title":"Hemimelic epiphyseal dysplasia a case report","volume":"26","author":"Yurdoglu","year":"1992","journal-title":"Acta Orthop Traumatol Turc."},{"key":"bib5-20240805","first-page":"289","article-title":"La tarsomegalie","volume":"10","author":"Mouchet","year":"1926","journal-title":"J Radiol Electrol."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1302\/0301-620X.32B2.204","article-title":"Tarso-epiphysial aclasis: a congenital error of epiphysial development","volume":"32","author":"Trevor","year":"1950","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1302\/0301-620X.38B1.237","article-title":"Dysplasia epiphysialis hemimelica (tarso-epiphysial aclasis)","volume":"38","author":"Fairbank","year":"1956","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/BF02387852","article-title":"The variable manifestations of dysplasia epiphysealis hemimelica","volume":"15","author":"Azouz","year":"1985","journal-title":"Pediatr Radiol."},{"issue":"suppl 1","key":"bib9-20240805","first-page":"S9","article-title":"Trevor disease (hemimelic epiphyseal displasia): 12-year follow-up case report and literature review","volume":"4","author":"Baumfeld","year":"2014","journal-title":"Ann Med Health Sci Res."},{"key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"bcr2012007259","DOI":"10.1136\/bcr-2012-007259","article-title":"Dysplasia epiphysealis hemimelica: a huge articular mass with unpredictable surgical results","volume":"2012","author":"Luevitoonvechkij","year":"2012","journal-title":"BMJ Case Rep."},{"issue":"2","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1053\/j.jfas.2013.10.005","article-title":"Dysplasia epiphysealis hemimelica with involvement of the distal tibial epiphysis and talus: recurrence of a case and literature review","volume":"53","author":"Ouyang","year":"2014","journal-title":"J Foot Ankle Surg."},{"issue":"1","key":"bib12-20240805","first-page":"90","article-title":"Combined anterior and posterior ankle arthroscopy for dysplasia epiphysealis hemimelica of the ankle in a child: a case report","volume":"9","author":"Fetih","year":"2019","journal-title":"J Orthop Case Rep."},{"issue":"5","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1053\/j.jfas.2012.05.008","article-title":"Treatment of dysplasia epiphysealis hemimelica: a systematic review of published reports and a report of seven patients","volume":"51","author":"Struijs","year":"2012","journal-title":"J Foot Ankle Surg."},{"issue":"4","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"746","DOI":"10.2106\/00004623-196648040-00007","article-title":"Dysplasia epiphysealis hemimelica. 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