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Bilateral non-osteochondroma-related proximal tibiofibular synostosis

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Abstract

We report the case of a 67-year-old male with bilateral proximal tibiofibular synostosis, presenting with unilateral symptoms. The patient complained of pain around the left fibular head, which was attributed to incomplete bone bridging between the proximal tibia and fibula; he underwent proximal fibular head resection, which alleviated the pain and improved knee mobility. Eleven months later, the patient continued to be pain-free and did not experience any adverse effects. An examination of this case and a review of similar cases revealed that participation in sport activities such as long-distance running may be one of the causes of proximal tibiofibular synostosis. In this report, we have also reconsidered the classification of proximal tibiofibular synostosis and provided information for a better understanding of this unusual condition.

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References

  1. Bessler W, Eich G, Stuckmann G, Zollikofer C. Kissing osteochondromata leading to synostoses. Eur Radiol. 1997;7(4):480–5.

    Article  PubMed  CAS  Google Scholar 

  2. Bozkurt M, Dogan M, Turanli S. Osteochondroma leading to proximal tibiofibular synostosis as a cause of persistent ankle pain and lateral knee pain: a case report. Knee Surg Sports Traumatol Arthrosc. 2004;12(2):152–4.

    Article  PubMed  Google Scholar 

  3. Rahm H. Die Tibiofibulare Synostose Zeitschrift Orhop Chir. 1924;43:64–9 [In German].

    Google Scholar 

  4. Bergmann E. Congenital tibiofibular synostosis. Int Coll Surg. 1941;4:359–60.

    Google Scholar 

  5. Wong K, Weiner DS. Proximal tibiofibular synostosis. Clin Orthop Relat Res. 1978;135:45–7.

    PubMed  Google Scholar 

  6. Gamble JG. Proximal tibiofibular synostosis. J Pediatr Orthop. 1984;4(2):243–5.

    Article  PubMed  CAS  Google Scholar 

  7. O’Dwyer KJ. Proximal tibio-fibular synostosis. A rare congenital anomaly Acta Orthop Belg. 1991;57(2):204–8.

    Google Scholar 

  8. Nishimura T, Nii E, Urawa M, Nishiyama M, Taki S, Uchida A. Proximal tibiofibular synostosis with 49, XXXXY syndrome, a rare congenital bone anomaly. J Orthop Sci. 2008;13(4):390–5.

    Article  PubMed  Google Scholar 

  9. Sferopoulos NK. Synostosis of the proximal tibiofibular joint. Case Rep Med. 2010;2010:794594.

    PubMed  PubMed Central  Google Scholar 

  10. Lenin Babu V, Shenbaga N, Komarasamy B, Paul A. Proximal tibiofibular synostosis as a source of ankle pain: a case report. Iowa Orthop J. 2006;26:127–9.

    PubMed  Google Scholar 

  11. van Ooij B, van Ooij A, Morrenhof JW, van Dijk CN. Proximal tibiofibular synostosis as a possible cause of a pseudoradicular syndrome: a case report. Knee Surg Sports Traumatol Arthrosc. 2011;19(12):2115–8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Takai S, Yoshino N, Hirasawa Y. Unusual proximal tibiofibular synostosis. Int Orthop. 1999;23(6):363–5.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  13. Nishikawa T, Yamamoto T, Yoshiya S, Kurosaka M. Intermittent peroneal mononeuropathy due to proximal tibiofibular synostosis. J Neurol. 2003;250(3):352–3.

    Article  PubMed  Google Scholar 

  14. Shehab D, Elgazzar AH, Collier BD. Heterotopic ossification. J Nucl Med. 2002;43(3):346–53.

    PubMed  Google Scholar 

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Conflict of interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Orthopaedic Oncology and Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan

    Takanori Wakayama, Jungo Imanishi, Yasuo Yazawa & Taketo Okubo

  2. Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan

    Kazuo Kaneko

Authors
  1. Takanori Wakayama
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  2. Jungo Imanishi
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  3. Yasuo Yazawa
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  4. Taketo Okubo
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  5. Kazuo Kaneko
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Corresponding author

Correspondence to Jungo Imanishi.

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Wakayama, T., Imanishi, J., Yazawa, Y. et al. Bilateral non-osteochondroma-related proximal tibiofibular synostosis. Skeletal Radiol 43, 1737–1742 (2014). https://doi.org/10.1007/s00256-014-1932-4

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  • DOI: https://doi.org/10.1007/s00256-014-1932-4

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