Is it normal for a growth between the tibia and fibula inspite of having sprained ankle? - Online Doctor Chats
My 14 year old son broke his tibia about half way between the knee and ankle. The doctor at the time said it did not require surgery, so casted the leg. My son has participated in normal activities since then, although sometimes complains about a pain in his broken leg. This past weekend he twisted his ankle playing basketball, so we took him up for an xray. The ankle was sprained, not broken, however the xray shows that at the place where he broke his tibia years ago, it appear that there is bone growth that has attached to the fibula. Both the PA and the nurse mentioned something weird about the xray, but not concerning the ankle. I just recieved a copy of the xray today so can see what they were referring too? Is this normal for a growth between the tibia and fibula and should I be concerned for my son?
please give me a moment to read your query
I failed to mention the broken tibia happened approximately five years ago when he was 9 I believe
I have read your query
It is possible for some amount of bone growth to happen between the two bones tibia and fibula
If it does not cause any mechanical restriction to his movement, it can be left unattended to
We need to see the extent of growth and attachment between the two bones for it
like a bent bone
is he walking normally?
playing around normally?
yes, it is just that sometimes he complains about a pain in his leg where it was previously broken
then this is not concerning
radiologically, overlapping of bone growth can be seen
can be apparent
OK, since I have you on here, can I ask you another question?
but clinically it may not be significant
so, you can relax on this
please ask me
I slipped on the ice and landed on my ankle on 2/16 and broke by fibula right above the ankle joint I am a 51 yr old male
I was told it was only mildly displaced and put in a brace have not put any weight on my ankle
my questions pertains to the radiology report on my second set of xrays ten days later on 2/26
sure, please proceed
it reads "there is an oblique, mildly displaced, sligtly overriding, but not significantly angulated, distal fibular fracture extending into the apex of the lateral ankle gutter" "there is a slight widening of the latereral anle mortise compared to the medial. Clinical correlation for mortise instability" "there is a 7.5 mm ovoid bony fragment overlying the upper lateral ankle gutter. Position of this fragment is uncertain, related to the joint." " Minimal irregularity along the posterior malleolus is seen, nondisplaced injury cannot be excluded"
are you there?
let me read it
Any concern in what you read?
it seems to be displaced
very minor means no concern for future problems?
yes, but you need a longer immobilization periods for complete recovery
like the immobility should extend by minimum 2 weeks
what is a 7.5 mm ovoid bony fragment overlying the upper lateral ankle gutter mean?
i was told to stay off ankle for another one to two weeks after the last xray
This means there is a piece of boen in the lateral part of the ankle
the piece of bone will fuse back on, no concern?
yes, ideally it should fuse without any hindrance
like I said, longer immobility of the joint would be required
OK, i appreciate your answers without being able to actually see the xray
I am trying to read the report mentally
I do not see a serious concern though
in your opinion, i have been off ankle for two weeks now, I will should stay off ankle for another two weeks, then how long do you think I should keep brace on when I start putting weight on ankle?
these are minute disturbances that should heal without any active surgical intervention
Give it complete 4 weeks rest
on the braces, light weight for another 4 weeks
The initial 4 weeks are crucial for proper healing
so make sure you completely immobilize the ankle in this time
OK, makes sense to me. I agree with your opinion. Thanks you for you help
sorry one last question, they did not cast my ankle, but I have a secure brace which I leave on 24 hours a day and have only taken off a few times to clean and put lotion on leg and ankle, this should be fine without the cast?
Yes, this should be fine
a secure brace is all you need with immobilization
OK, thanks again you have been very helpful in all questions
thank you too
Get well soon
thanks, have a good night or day whereever you may be
Good night to you
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