15 year old male. weighing about 75 kilos (about 165 pounds) jumped and landed on his left foot while Everted. immediately he developed severe pain and tenderness 15 cm above the ankle joint in the anterio-medial aspect of the leg.
an AP X-Ray and a Lateral X-Ray were done to his left leg only. (they are attached).
AP X-Ray shows a hypo dense area in the lower tibia about 3 cm above the tibial-talus joint space. the hypo dense area is located both medially and laterally, though more apparent medially.
AP X-Ray also shows areas of hypo density in the lower fibula, just
Well, without knowing the relevant clinical details or the actual radiographs it would be difficult to comment specifically on the situation. Hypodensity within the substance of a bone could represent lytic bone lesions, cysts, bone tumours etc. Outside the substance of a bone there could be a number of other possibilities related to the soft tissues. Further investigations/ tests may be required for a definite diagnosis. I would suggest discussing the situation and the suggested management plan in detail with your treating orthopedician.
Hope this is helpful.
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