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Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt.

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Presentation on theme: "Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt."— Presentation transcript:

1 Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt J Bone Joint Surg Am Volume 82(9): September 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1-A through 1-F: Case 14.Figs. 1-A and 1-B: Anteroposterior and lateral radiographs of the ankle, made at the time of the initial examination, showing a solitary osteochondroma arising from the lateral side of the distal aspect of the tibia and erodin... Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

3 Figs. 1-A and 1-B: Anteroposterior and lateral radiographs of the ankle, made at the time of the initial examination, showing a solitary osteochondroma arising from the lateral side of the distal aspect of the tibia and eroding the posteromedial cortex of t... Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

4 Sagittal T1-weighted magnetic resonance image showing the osteochondroma arising from the distal aspect of the tibia and deforming the adjacent fibula and soft tissues. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

5 Anteroposterior radiograph of the ankle, made after complete resection of the lesion. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

6 Lateral and mortise radiographs of the ankle, made two and one-half years after the resection, showing closure of the physis, remodeling of the tibia and fibula, partial recurrence of the tumor, and mild valgus tilting of the talar articular surface. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

7 Lateral and mortise radiographs of the ankle, made two and one-half years after the resection, showing closure of the physis, remodeling of the tibia and fibula, partial recurrence of the tumor, and mild valgus tilting of the talar articular surface. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

8 Representative mortise radiograph of the left ankle, showing substantial deformity of the distal aspect of the tibia and fibula with valgus tilting of the tibiotalar joint surface due to osteochondromas arising from the distal aspects of the tibia and fibul... Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

9 Figs. 3-A through 3-D: Case 21.Figs. 3-A and 3-B: Anteroposterior and lateral radiographs of the right ankle of an asymptomatic thirteen-year-old skeletally immature boy, demonstrating a solitary osteochondroma arising from the medial aspect of the metaphys... Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

10 Figs. 3-A and 3-B: Anteroposterior and lateral radiographs of the right ankle of an asymptomatic thirteen-year-old skeletally immature boy, demonstrating a solitary osteochondroma arising from the medial aspect of the metaphysis of the distal aspect of the... Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

11 Anteroposterior and lateral radiographs of the right ankle, made seven years and eight months later, showing closure of the physis and minimal enlargement of the osteochondroma. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.

12 Anteroposterior and lateral radiographs of the right ankle, made seven years and eight months later, showing closure of the physis and minimal enlargement of the osteochondroma. Kingsley R. Chin et al. J Bone Joint Surg Am 2000;82:1269 ©2000 by The Journal of Bone and Joint Surgery, Inc.


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