Distal tibial epiphysitis is a rare osteochondrosis of the medial malleolar epiphysis.
Not to be confused with a traction apophysitis of the medial malleolus
The medial malleolus may have a secondary ossification center. Wide variation in the literature on how often (from a few percent up to 50%). This accessory center appears from around 6-11 yrs and is more common in girls. Increased levels of sporting activity may be related to the appearance of the secondary center (Tajima, 1981) as there were more secondary ossification centers in the footballers than the control group.
Avulsion fractures of the accessory ossification center
Traction apophysitis of the medial malleolus
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