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A 28-year-old professional footballer presented to the emergency department having sustained an isolated direct kick to the left shin with an associated soft tissue haematoma. Radiographs were normal and his symptoms resolved over 6 weeks. Five years later following a similar mechanism of injury, radiographs revealed a fracture of a tibio fibula synostosis occurring at the site of the previous injury (figs 1 and 2). Heterotopic ossification following soft tissue injuries is not uncommon and can present surprising radiological features.
This article has been adapted from Bains Baldeep, Porter Keith. Fracture of an unnamed bone Emergency Medicine Journal 2007;24:795
Competing interests: none declared
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