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Fibular osteochondroma presenting as chronic ankle sprain
B J Montella1, D A O'Farrell, W S Furr
1Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Foot & Ankle International
|April 1, 1995
Summary
A rare cause of recurrent ankle sprains in a young athlete was identified as common peroneal nerve palsy due to a fibular neck osteochondroma. Surgical resection led to a full recovery, highlighting a crucial diagnosis for sports injuries.
Area of Science:
- Orthopedics
- Neurology
- Sports Medicine
Background:
- Recurrent ankle sprains are common in athletes and often attributed to sports-related injuries.
- The common peroneal nerve is susceptible to compression injuries around the fibular neck.
Observation:
- A 19-year-old baseball player presented with recurrent right ankle sprains.
- Initial diagnosis focused on typical sports-related ankle trauma.
Findings:
- The recurrent sprains were caused by compression of the common peroneal nerve.
- An osteochondroma at the fibular neck was identified as the source of nerve compression.
- Surgical resection of the osteochondroma resulted in complete recovery.
Implications:
- This case underscores the importance of considering rare neurological causes for seemingly common sports injuries.
- Prompt diagnosis and surgical intervention for nerve compression can lead to excellent patient outcomes.
- Highlights the differential diagnosis for persistent ankle instability in athletes.