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Emerg Med J. 2007 November; 24(11): 795.
PMCID: PMC2658335

Fracture of an unnamed bone

A 28‐year‐old professional footballer presented to the emergency department having sustained an isolated direct kick to the left shin with an associated soft tissue haematoma. Radiographs were normal and his symptoms resolved over 6 weeks. Five years later following a similar mechanism of injury, radiographs revealed a fracture of a tibio fibula synostosis occurring at the site of the previous injury ((figsfigs 1 and 22). Heterotopic). Heterotopic ossification following soft tissue injuries is not uncommon and can present surprising radiological features.

figure em43356.f1
Figure 1 Anteroposterior view of heterotopic ossification of tibio fibula synostosis.
figure em43356.f2
Figure 2 Fracture through the ossified tibio fibula synostosis.


Competing interests: none declared

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