Silent Swelling of the Tibia in a 43-year-old Man

Ali Ocguder, Osman Tecimel, Ahmet Firat, Murat Bozkurt
2008 Clinical Orthopaedics and Related Research  
A 43-year-old man complaining of right anterior leg pain presented with swelling, minimal redness, and a decrease in hair at the affected site. The pain had been present for 1 year, although he first recognized the swelling 4 months before presentation. There was no history of trauma to the limb. Physical examination revealed hair loss on the skin over the affected site. The skin was thin and atrophic. There was minimal tenderness at the anterior aspect of the leg. Compared with the
more » ... l side, the affected leg had an increased circumference of 8 cm, 10 cm below the tibial tuberosity. Serum alkaline phosphatase levels were mildly elevated. Serum calcium and phosphate levels were normal. Radiography (Fig. 1) , computed tomography (CT) (Fig. 2) , and MRI (Fig. 3) were performed. To exclude
doi:10.1007/s11999-008-0157-z pmid:18273675 pmcid:PMC2584303 fatcat:fzpsxuynznfibcui7uv4abvsxy