Aims and objectives: To report the clinical presentation, course, management and associated pathology of DEH seen at the National Orthopaedic Hospital Lagos.
Patient and methods: Case review was employed to report the association of an incidental radiologic finding of asymptomatic DEH with Blount disease.
Results: This case is an 11-year-old girl with asymptomatic DEH of both ankles associated with right unilateral Blount disease. The incidental pathology is conservatively managed following the surgical treatment of the Blount disease which is the symptomatic pathology.
Conclusion: DEH is an uncommon pathology usually an incidental radiologic finding which may or may not be associated with other skeletal pathologies. The management is essentially conservative but surgery is an option when symptomatic.