title: Diaphyseal tibiofibular synostosis in professional athletes: Report of 2 cases.
abstract: Anterior leg pain is common in professional athletes and tibiofibular synostosis is reported to be a rare cause of anterior compartment pain or ankle pain related to sports activities. The management and appropriate treatment of this condition in professional athletes is controversial and the literature on the topic is sparse. Distal synostosis is usually related to ankle sprain and syndesmotic ligament injury, and proximal synostosis has been linked to leg length discrepancy and exostosis. Mid-shaft synostosis is even less common than proximal and distal forms. We present the treatment of mid-shaft tibiofibular synostosis in 2 cases of professional athletes (soccer and basketball player), along with a review of the literature. When diaphyseal synostosis is diagnosed, first-line conservative treatment, including ultrasound-guided steroid injection is recommended. However, if it does not respond to conservative management, surgical resection may be indicated to relieve symptoms.
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France. Electronic address: sonnerycottet@aol.com.
authors.forename: B
authors.initials: B
authors.lastname: Sonnery-Cottet
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: M
authors.initials: M
authors.lastname: Alessio-Mazzola
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: B F
authors.initials: BF
authors.lastname: Luz
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: N C
authors.initials: NC
authors.lastname: Barbosa
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: S
authors.initials: S
authors.lastname: Tuteja
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Kajetanek
authors.affiliation: OGC Nice Parc-Charles-Erhmann, 155, boulevard du Mercantour, 06200 Nice, France.
authors.forename: A
authors.initials: A
authors.lastname: Dellal
authors.affiliation: Générale de Santé, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.
authors.forename: M
authors.initials: M
authors.lastname: Thaunat
mesh_terms: D056352:Athletes; D018483:Diaphyses / Q000000981:diagnostic imaging; D005360:Fibula / Q000000981:diagnostic imaging*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007267:Injections; D008297:Male; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D011859:Radiography; D013580:Synostosis / Q000000981:diagnostic imaging*; D013977:Tibia / Q000000981:diagnostic imaging*; D055815:Young Adult
chemical_list: D005938:Glucocorticoids
keywords: Athletes; Leg pain; Tibiofibular synostosis