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Proximal Tibiofibular Synostosis in a Professional Soccer PlayerA Case Report
Lamberto Felli1; Matteo Coviello, MD1; Vittorio Seghezzo, MD1; Michele Fiore, MD1; Luca Biglieni, MD1
1 Department of Orthopaedic Surgery, University of Genoa, Largo Rosanna Benzi 10, Padiglione 40, Clinica Ortopedica, 16132 Genoa, Italy. E-mail address for L. Felli: lambertofelli@virgilio.it. E-mail address for M. Coviello: coviellomatteo@hotmail.com. E-mail address for V. Seghezzo: vittofritz@hotmail.it. E-mail address for M. Fiore: mikfio@tiscali.it. E-mail address for L. Biglieni: LucaBiglieni@libero.it
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Investigation performed at the University of Genoa, Genoa, Italy

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Sep 12;2(3):e46 1-2. doi: 10.2106/JBJS.CC.K.00034
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Isolated proximal tibiofibular synostosis is a rare deformity, unlike distal tibiofibular synostosis, which has been described more often. Very few cases have been reported in the literature1-6; these cases have not been associated with other deformities, such as multiple exostoses, genu valgum, limb-length discrepancy, or distalization of the proximal tibiofibular joint. Nishimura et al.7 described a case of proximal tibiofibular synostosis in a patient with “49,XXXXY syndrome.”
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