title: Fractured diaphyseal tibiofibular synostosis in an adolescent soccer player.
abstract: Diaphyseal tibiofibular synostosis is a rare cause of symptomatic shin pain with exertion. In this case, a 14-year-old male soccer player presented with atraumatic right shin pain made worse with running. Computed tomography revealed heterotopic ossification, or synostosis, of the tibial-fibular syndesmosis. The patient's symptoms improved with rest, without the need for operative intervention.
authors.affiliation: Department of PM&R, University of Texas Health Science Center, 5921 Broadway, San Antonio, TX 78209∗. Electronic address: dsmluigi@yahoo.com.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Santa Maria
authors.affiliation: Department of PM&R, University of Texas Health Science Center, San Antonio, TX(†).
authors.forename: Thomas
authors.initials: T
authors.lastname: Shaw
authors.affiliation: Sports Medicine Associates of San Antonio, San Antonio, TX(‡).
authors.forename: Marque
authors.initials: M
authors.lastname: Allen
authors.affiliation: Texas A&M Health Science Center, Bryan, TX (student)(§).
authors.forename: James
authors.initials: J
authors.lastname: Marin
mesh_terms: D000293:Adolescent; D005360:Fibula / Q000293:injuries*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D026741:Physical Therapy Modalities; D012916:Soccer / Q000293:injuries*; D013580:Synostosis / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation; D013977:Tibia / Q000293:injuries*; D013978:Tibial Fractures / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation; D014057:Tomography, X-Ray Computed