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Case Reports in Medicine
Volume 2012, Article ID 629150, 7 pages
http://dx.doi.org/10.1155/2012/629150
Case Report

Osteochondritis of the Distal Tibial Epiphysis

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

Received 19 July 2012; Accepted 11 October 2012

Academic Editor: Ron Rabinowitz

Copyright © 2012 Firass EL Hajj et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.