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PMID: 8368426 Am J Sports Med. 1993 Jul-Aug;21(4):619-22.

D - TESTED

L 1

Tibiofibular synostosis in professional basketball players.

Henry JH Andersen AJ Cothren CC.

Henry JH, AJSM 1993

Pubmed

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change

BIG change

80% Article relates to my practice (8/10)

20% Article does not relate to my practice (2/10)

0% Undecided (0/10)

Will this article lead to more cost-effective healthcare?

50% Yes (5/10)

30% No (3/10)

20% Undecided (2/10)

Was this article biased? (commercial or personal)

0% Yes (0/10)

80% No (8/10)

20% Undecided (2/10)

⁴

What level of evidence do you think this article is?

0% Level 1 (0/10)

10% Level 2 (1/10)

80% Level 3 (8/10)

0% Level 4 (0/10)

10% Level 5 (1/10)

Flashcards (0)

Cards

1 of 0

Action	Numeric Key	Letter Key	Function Key
Show Bullets		S	Enter (frontside only)
20%	1	N
40%	2	H
60%	3	F	Enter (backside only)
80%	4	E
100%	5	M
Toss	0	T

Questions (2)

(SBQ07SM.2) A football player develops a synostosis between the distal tibia and fibula 8 months following treatment for a high ankle sprain. What is the most appropriate indication and timing for surgical excision?

QID: 1387

Type & Select Correct Answer

Type in at least one full word to see suggestions list

Chronic lateral ankle instability at any time

(58/3606)

Progressive loss of plantar-flexion at any time

(87/3606)

Progressive loss of plantar-flexion and increased uptake on bone scan

(73/3606)

Persistent pain despite non-operative treatment and no uptake on bone scan

86%

(3112/3606)

Persistent pain despite non-operative treatment and "hot" on bone scan

(257/3606)

Select Answer to see Preferred Response

SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic

(OBQ06.74) A 21-year-old male collegiate basketball player presents with 1 year of left lower leg pain. The pain is worse with activity and the leg is tender to palpation. He denies constitutional symptoms, and conservative treatment has failed to provide relief. He denies recent trauma, but did sustain a severe ankle sprain 7 years ago. Radiograph, bone scan, and CT scans are shown in Figures A-D. What is the next most appropriate step in management?

QID: 185

FIGURES:

Type & Select Correct Answer

Type in at least one full word to see suggestions list

External beam irradiation with 60Gray to lesion

(186/3711)

Neoadjuvant multiagent chemotherapy followed by surgical resection of lesion followed by adjuvant multiagent chemotherapy

(123/3711)

Observation and repeat bone scans to plan external beam irradiation of 700cGray to lesion

(102/3711)

Indomethacin 25 mg PO tid for 6 weeks

(330/3711)

Observation and repeat bone scan followed by surgical resection if no increased uptake

80%

(2957/3711)

Select Answer to see Preferred Response

SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic

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