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Case Rep Med. 2012;2012:629150. doi: 10.1155/2012/629150. Epub 2012 Nov 06.

Osteochondritis of the distal tibial epiphysis.

Case reports in medicine

Firass El Hajj, Amer Sebaaly, Khalil Kharrat, Ismat Ghanem

Affiliations

  1. Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Achrafieh, P.O. Box 166830, Beirut, Lebanon.

PMID: 23193412 PMCID: PMC3501983 DOI: 10.1155/2012/629150

Abstract

Osteochondritis of the distal tibial epiphysis is a very rare entity. 9 cases have been described in 7 articles and 8 other cases have been mentioned in textbooks. This paper describes the 10th case of osteochondritis of the distal tibial epiphysis and summarizes the clinical and radiological presentations of the 9 other cases. The etiology of this entity is well debated in the literature. We believe that it results from a vascular abnormality in the distal tibial epiphysis associated with a mechanical stress (trauma, excessive overload, etc.). Since it is a self-limited disease, the prognosis is good and the younger the patient is the better the prognosis will be. In general, this entity responds well to conservative treatment.

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