Tibiofibular Synostosis Stress Fracture: A Case Report

Abstract

A case of tibiofibular synostosis stress fracture is reported with its clinical and radiographic appearance as well as treatment.

Fractured Diaphyseal Tibiofibular Synostosis in an Adolescent Soccer Player

“…James et al suggest that, based upon his case and review of prior literature, idiopathic diaphyseal tibiofibular synostosis is recalcitrant to conservative management and should invariably be treated with resection [9]. Conversely, Horst reports that stress fracture of a distal tibiofibular synostosis may be well managed conservatively [10]. Moreover, Henry et al advocate conservative management in a description of the cases of 2 professional basketball players [1].…”

“…Moreover, Henry et al advocate conservative management in a description of the cases of 2 professional basketball players [1]. Henry and Horst documented treatment with a bone stimulator [1,10]. However, if much of the pain related to synostosis may due to abnormal tibiofibular movement, as described by Frick et al [8], then promoting further ossification of the synostosis would not likely result in decreased pain.…”

Stress fractures of the foot and ankle

“…In adults, a similar association with running and jumping exists as for tibial stress fractures. Other risk factors include tibio-fibular synotosis or repeated heavy lifting [38,39].…”

Tibiofibular Synostosis

“…A high risk of recurrence after surgical treatment has been reported, so meticulous attention should be given to hemostasis during surgery. A fractured synostosis and a recurrent compartment syndrome after a fractured synostosis have been reported as rare complications of the lesion [19][20][21][22][23][24][25][26][27][28].…”