Distal Tibiofibular Diastasis Secondary to Osteochondroma in a Child

Dk, Spatz; Jt, Guille; Sj, Kumar

doi:10.1097/00003086-199712000-00028

Cited by 20 publications

(16 citation statements)

References 9 publications

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“…These tumors present most often in the second decade of life and commonly develop in the metaphysis of tubular bones such as the proximal tibia, distal femur, distal tibia, distal fibula, proximal femur, and proximal humerus. 6,7 A slow and predictable course usually occurs, with steady growth until physeal fusion. After skeletal maturity, progression of the tumor slows down and eventually ceases in virtually all cases.…”

Section: Discussionmentioning

confidence: 99%

“…The resulting ankle deformities, syndesmotic complications (synostosis or diastasis), mechanical block to motion, and subsequent degenerative changes are well-documented to occur in these distal tumors. 6,7 Pressure symptoms from enlargement of the mass as well as a resulting deep peroneal nerve neuropathy may ensue. 8 Pathological fractures can occur in pedunculated osteochondromas as well as in sessile lesions from progressive erosion and scalloping of adjacent bone.…”

Section: Introductionmentioning

confidence: 99%

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Distal tibial osteochondroma causing fibular deformation resected through a posterolateral approach

Tayara

Uddin

Al-Khateeb

2016

Current Orthopaedic Practice

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Distal tibial osteochondroma causing fibular deformation resected through a posterolateral approach

Tayara

Uddin

Al-Khateeb

2016

Current Orthopaedic Practice

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“…Osteochondromata affecting the distal tibia may result in anatomical abnormalities of the ankle resulting in reduced motion, bowing of the fibula, fibular shortening, valgus deformity of distal tibial epiphysis and distal tibiofibular diastasis. Subsequently a combination of these deformities may predispose the patient to long-term degenerative disease of the ankle joint [8,9].…”

Section: Discussionmentioning

confidence: 99%

Fibular lengthening by Ilizarov method secondary to shortening by osteochondroma of distal tibia

Johnston¹,

Andrews²

2008

Strategies in Trauma and Limb Reconstruction

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Osteochondroma is the most common benign bone tumour. They most commonly affect the long tubular bones and almost half of osteochondromata are found around the knee. Osteochondroma arising from the distal metaphysis of the tibia typically result in a valgus deformity of the ankle joint secondary to relative shortening of the fibula. This case describes the use of Ilizarov technique for fibular lengthening following excision of a distal tibial osteochondroma. A 12-year-old girl presented with a 3-year history of a large swelling affecting the lateral aspect of the right distal tibia. Plain radiographs confirmed a large sessile osteochondroma arising from the postero-lateral aspect of the distal tibia with deformity of the fibula and 15 mm of fibular shortening. The patient underwent excision through a postero-lateral approach and subsequent fibular lengthening by Ilizarov technique. The patient made excellent recovery with removal of frame after 21 weeks and had made a full recovery with normal ankle function by 6 months. The Ilizarov method is a commonly accepted method of performing distraction osteogenesis for limb inequalities; however, this is mainly for the tibia, femur and humerus. We are unaware of any previous cases using the Ilizarov method for fibular lengthening. This case demonstrates the success of the Ilizarov method in restoring both fibular length and normal ankle anatomy.

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“…15 In the reviewed literature, there are few cases reported which mention osteochondroma arising from distal tibia laterally and invading the interosseous space and producing pressure effects on fibula. 3,4,5 We could have used the anterior approach to excise the tumor, but rather a transfibular approach was performed as advised by Gupte, et al 16 Although , this approach has been used for a tibial osteochondroma, it proved to be an excellent method of visualizing the tumor for complete excision. (Fig.…”

Section: Figurementioning

confidence: 99%

“…2 After an extensive literature search, there are few cases reported which mention an osteochondroma arising from distal tibia laterally and invading the interosseous space and producing pressure effects on fibula. 3,4,5 Osteochondroma arising from distal fibula along medial aspect and producing pressure effects on tibia in a skeletally mature patient does not appear to be mentioned anywhere in the literature.…”

mentioning

confidence: 99%

Distal Fibular Interosseous Osteochondroma Producing Pressure Effects on the Tibia: A case report

Sultan¹,

Wani²,

Halwai³

et al. 2010

FAOJ

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The Foot and Ankle Online Journal 3 (10): 3Osteochondroma are believed to be most common benign tumors accounting for 36% to 41% of all such tumors. We report a rare occurrence of such a tumor in distal interosseous space of leg. In our case osteochondroma arising from distal fibula invaded the interosseous space and produced pressure effects on tibia. We believe this may be the first reported case of distal fibular osteochondroma producing pressure effects on the tibia. The tumor was excised using a transfibular approach and osteotomy site fixed with a semitubular plate.

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Distal Tibiofibular Diastasis Secondary to Osteochondroma in a Child

Cited by 20 publications

References 9 publications

Distal tibial osteochondroma causing fibular deformation resected through a posterolateral approach

Distal tibial osteochondroma causing fibular deformation resected through a posterolateral approach

Fibular lengthening by Ilizarov method secondary to shortening by osteochondroma of distal tibia

Distal Fibular Interosseous Osteochondroma Producing Pressure Effects on the Tibia: A case report

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