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Ribbing disease of tibia: a rare entity.
Sibasish Panigrahi1, Bishnu Prasad Patro2, Ayesha Mohapatra2
1Department of Orthopaedics, AIIMS Bhubaneswar, Bhubaneswar, Orissa, India vickysp88@gmail.com.
BMJ Case Reports
|October 29, 2021
Summary
Ribbing disease, a rare bone disorder, can cause leg pain. This case highlights its diagnosis through imaging and successful surgical treatment, relieving pain and restoring function.
Area of Science:
- Orthopedics
- Radiology
- Pathology
Background:
- Unilateral leg pain can be challenging to diagnose, especially with tibial diaphyseal sclerosis.
- Ribbing disease is a rare condition often diagnosed by exclusion.
Observation:
- A 36-year-old woman presented with chronic unilateral leg pain and normal initial investigations.
- Radiography and CT revealed significant tibial cortical thickening and medullary obliteration.
- MRI showed bone marrow edema, and bone scan indicated increased tracer uptake.
Findings:
- Surgical intervention involving saucerization and medullary canal re-establishment was performed.
- Biopsy confirmed trabecular bone without signs of inflammation.
- The patient experienced complete pain relief and functional recovery post-surgery.
Implications:
- This case underscores the importance of considering Ribbing disease in unexplained unilateral leg pain.
- Early and accurate diagnosis through advanced imaging is crucial.
- Surgical management can effectively resolve symptoms and improve quality of life.
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