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Avascular necrosis of distal tibial epiphysis: report of two cases
José Gascó1, Pedro González-Herranz, Mari-Fé Minguez
1Departamento de Cirugía, Facultad de Medicina, Hospital Clínico Universitario, Valencia, Spain. jose.gasco@uv.es
Unlabelled:
The authors present two cases of necrosis of the distal tibial epiphysis without evidence of trauma in either of the patients. One patient after a long follow-up showed a Charcot arthropathy. In contrast, the second patient recovered distal epiphysis ad integrum. Close follow-up and ankle protection with an orthosis may be necessary to spare the joint and prevent significant damage. The authors highlight the difficulty in diagnosing these special cases in which pain, a common finding in orthopaedics, is not present.
Level Of Evidence:
IV.
