Medicina (Oct 2021)

Bilateral Proximal Tibiofibular Synostosis Caused by Osteochondroma in a 21-Year-Old Highly Active Male—First in Literature

  • Lorenz Pisecky,
  • Gerhard Großbötzl,
  • Stella Stevoska,
  • Christian Stadler,
  • Maximilian Ziernhöld,
  • Petar Noack,
  • Tobias Gotterbarm,
  • Matthias Luger

DOI
https://doi.org/10.3390/medicina57101126
Journal volume & issue
Vol. 57, no. 10
p. 1126

Abstract

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Background and Objectives: Up until now, only one case of unilateral proximal tibiofibular synostosis caused by osteochondroma has been reported. This report is the first well-documented bilateral case of proximal tibiofibular synostosis caused by an osteochondroma. Case Report: A 21-year-old, highly active male patient with bilateral proximal tibiofibular synostosis caused by an osteochondroma suffering from persistent knee pain is presented. As conservative methods had failed, the patient was treated by bilateral open resection of the connecting bone. Histopathological findings confirmed the preoperative diagnosis. The patient returned to sports three weeks after surgery and continued soccer training six weeks after surgery. Discussion: The case report presents the successful treatment of a bilateral proximal tibiofibular synostosis caused by an osteochondroma by bilateral open resection of the connecting bone.

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