title: Diaphyseal tibiofibular synostosis in a runner.
abstract: Diaphyseal tibiofibular synostosis is a very rare cause of shin and ankle pain. A 35-year-old male presented with complaints of left shin and ankle pain of 3 years duration that was sometimes worse after running a few miles. One year before presenting to our hospital, the actual cause for his pain was missed when only lumbar radiographs were taken at another institution. A full-length tibia film revealed a diaphyseal tibiofibular synostosis at our hospital. The presence of a synostosis should alert the surgeon to search for the various abnormalities usually associated with this condition. Magnetic resonance imaging and enhanced 3-dimensional computed tomography are essential to rule out the possibility of a neoplastic process and to determine its relation to the neurovascular structures. Simple excision of the synostosis can provide excellent symptomatic relief with a minimal risk of complications.
authors.affiliation: Department of Orthopaedics and Rehabilitation Medicine, University of Fukui Faculty of Medical Sciences, Fukui, Japan. kshigeru@u-fukui.ac.jp
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Kenich
authors.initials: K
authors.lastname: Takeno
authors.forename: Akira
authors.initials: A
authors.lastname: Arakawa
mesh_terms: D000328:Adult; D005360:Fibula / Q000002:abnormalities*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D008297:Male; D064847:Multimodal Imaging; D010146:Pain / Q000209:etiology*; D012420:Running; D013580:Synostosis / Q000175:diagnosis* / Q000601:surgery; D013977:Tibia / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed
keywords: 4; diaphysis; fibula; surgery; tibia