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Updated: May 10, 2026
08:26
Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
Diaphyseal tibiofibular synostosis in a runner
Shigeru Kobayashi1, Tsuyoshi Miyazaki, Kenich Takeno
1Department of Orthopaedics and Rehabilitation Medicine, University of Fukui Faculty of Medical Sciences, Fukui, Japan. kshigeru@u-fukui.ac.jp
Summary
Diaphyseal tibiofibular synostosis, a rare cause of leg pain, was diagnosed in a patient presenting with chronic shin and ankle pain. Surgical removal of the synostosis effectively relieved symptoms.
Area of Science:
- Orthopedic Surgery
- Radiology
- Medical Imaging
Background:
- Diaphyseal tibiofibular synostosis is an uncommon condition.
- It can present as chronic shin and ankle pain, often exacerbated by physical activity.
- Misdiagnosis can occur if imaging is not comprehensive.
Observation:
- A 35-year-old male experienced persistent left shin and ankle pain for three years.
- Initial lumbar radiographs at another institution failed to identify the cause.
- A full-length tibia radiograph at our hospital revealed diaphyseal tibiofibular synostosis.
Findings:
- Diaphyseal tibiofibular synostosis was identified as the cause of the patient's pain.
- Associated abnormalities and potential neoplastic processes require advanced imaging like MRI and 3D CT.
- Neurovascular structure involvement must be assessed.
Implications:
- Surgical excision of diaphyseal tibiofibular synostosis offers excellent symptomatic relief.
- The procedure carries a minimal risk of complications.
- Early and accurate diagnosis through appropriate imaging is crucial for effective management.
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