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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 1, 109-111.
doi: 10.1302/0301-620X.89B1.17945  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Tibiofibular synostosis in a professional football player

S. H. James, MRCS, Specialist Registrar in Trauma and Orthopaedics1; E. C. Carpenter, MRCS, Specialist Registrar in Trauma and Orthopaedics1; and J. A. Fairclough, FRCS(Orth), Professor of Sports and Exercise Medicine2

1 University Hospital of Wales, Heath Park, Cardiff, CF14 4XN, UK.
2 University of Wales Institute, Western Avenue, Cardiff, CF5, 2SG, UK.

Correspondence should be sent to Dr E. C. Carpenter at 13 Kimberley Road, Penylan, Cardiff, CF23 5DH, UK; e-mail: carpie{at}doctors.org.uk

We present an unusual cause of anterior tibial pain in a 24-year-old professional international football player who was found to have a synostosis of the middle-third of the diaphysis of the tibia and fibula.

This is a rarely described phenomenon. Conservative treatment is the recommended treatment of choice, but this failed in our patient. Resection produced resolution of symptoms; he remained symptom-free three years later.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General