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J Korean Foot Ankle Soc. 2011 Dec;15(4):240-242. Korean. Case Report.
Park HG , Kwak J , Wang I .
Department of Orthopedic Surgery, Gachon University Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.

9 and 10 years old boys presented with pain and swelling without history of trauma around medial malleolar right and left ankle. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The X-rays revealed fragmented accessory ossification center of medial malleolus an symptomatic side. Traction apophysitis was diagnosed because MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of symptomatic medial malleolus apophysis. Patient was treated in conservative treatment by short leg cast for three or four weeks with restriction of sports activity and improved symptoms.

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