Diaphyseal tibiofibular synostosis in professional athletes: Report of 2 cases

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• 作者：B. Sonnery-Cottet^a ; ^{sonnerycottet@aol.com" class="auth_mail" title="E-mail the corresponding author} ; M. Alessio-Mazzola^a ; B.F. Luz^a ; N.C. Barbosa^a ; S. Tuteja^a ; C. Kajetanek^a ; A. Dellal^b ; M. Thaunat^a
• 关键词：Leg pain ; Tibiofibular synostosis ; Athletes
• 刊名：Orthopaedics & Traumatology: Surgery & Research
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：102
• 期：1
• 页码：135-138
• 全文大小：792 K

文摘

Anterior leg pain is common in professional athletes and tibiofibular synostosis is reported to be a rare cause of anterior compartment pain or ankle pain related to sports activities. The management and appropriate treatment of this condition in professional athletes is controversial and the literature on the topic is sparse. Distal synostosis is usually related to ankle sprain and syndesmotic ligament injury, and proximal synostosis has been linked to leg length discrepancy and exostosis. Mid-shaft synostosis is even less common than proximal and distal forms. We present the treatment of mid-shaft tibiofibular synostosis in 2 cases of professional athletes (soccer and basketball player), along with a review of the literature. When diaphyseal synostosis is diagnosed, first-line conservative treatment, including ultrasound-guided steroid injection is recommended. However, if it does not respond to conservative management, surgical resection may be indicated to relieve symptoms.