Tibiofibular Synostosis in a Military Soldier

Tibiofibular synostosis or heterotopic ossification within the interosseous membrane of ankle is an uncommon cause of ankle disability. Here we present a case of a 21-year-old young soldier who sustained a left ankle sprain about 5 years ago and was initially treated successfully by the conservative methods. Two years later, however, he suffered intermittently from an unexplained vague ankle pain, each time the symptoms occurred right after an active exercise, especially when he had exercised aggressively. After being a military recruit in 2000, his symptoms became progressively worse and exacerbated into severe pain, even at rest. We treated the patient with bed rest and put on analgesics for temporary relief of severe pain. In addition, we treated him with supportive tap and a progressive rehabilitating physical therapy. However, it was ineffective in spite of all efforts. The radiographs revealed that there was a mature distal tibiofibular synostosis. The patient received surgical excision of synostosis. Post-operation condition was satisfied to all concern and the result was found to be excellent during one-year follow-up.

並列關鍵字

ankle sprain ； tibiofibular synostosis

國際替代計量

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