Bilateral Shin Bumps In A 14-year-old Football Player

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Bilateral Shin Bumps In A 14-year-old Football Player - Page #3

Lab Studies: Vitamin D 25-OH 12. <br>TSH, CMP, CBC within normal limits. Other Studies: Point of Care ultrasound at initial visit showed periosteal reaction and fracture line present at the area of pain on the left and right tibias. <br> <br>Left tib/fib X-ray: Incomplete fracture of the mid to distal left tibia. Marginal sclerosis and new bone formation consistent with changes of healing. Growth plates remain open proximally and distally. <a href="CaseStudyImages/CS1BilateralShin039B-694.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>CT Left Leg: Stress fracture involving anterior tibial cortex 14cm above the ankle with 11mm transverse fracture line. Cortical thickening and periosteal reaction. Fracture lines consistent with healing. <a href="CaseStudyImages/CS2CS1BilateralShin0-694.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>Right tib/fib X-ray: Incomplete fracture of the mid to distal right tibia. Sclerosis and new bone formation consistent with changes of healing. Growth plates remain open proximally and distally. <a href="CaseStudyImages/CS3CS2CS1BilateralSh-694.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br> <br>CT Right Leg: Stress fracture involving anterior tibial cortex 15cm above the ankle with 13mm transverse fracture line. Smooth healing callus present, suggesting chronicity. Evidence of trabecular bridging consistent with healing. <a href="CaseStudyImages/CS4CS3CS2CS1Bilatera-694.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> Consultations: Orthopedic colleagues consulted; opted for aggressive conservative treatment due to risks of surgery with open growth plates. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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