Case presentation A 19-year-old basketball player presented to the orthopedic department with complaints of an acute onset of pain. The patient stated that the pain started after he played four basketball games in two days. Clinical examination Mild swelling in the mid-left tibial region No signs of infection Radiological examination: Figures A-D are attached for your reference. Lateral radiograph of mid-tibia: Presence of a focal lucency within the anterior cortex of the mid-tibial diaphysis (diameter- 0.5 cm) along with the existence of mature surrounding subtle periosteal reaction (Figure A).
Radiological differential diagnosis at this stage: Focal cortical abscess in relation to infection, stress fracture, and osteoid osteoma. Computed tomography (CT) scans: Focal round-shaped lytic lesion with cortical thickening and a central calcified area (Figure B). Cortical breaching was not…
