PMC4722566_01
Anteroposterior (Fig. 1-a) and lateral (Fig. 1-b) radiographs of the left tibia demonstrate valgus bowing, cortical periosteal reaction, and a narrow medullary canal.
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F1
Pre-operative plain radiographs [Figs. 1A-B and 2A-B] of her bilateral tibiae demonstrated thickening of the cortices with narrowing of the medullary canal which was more prominent on the left.
Anteroposterior (Fig. 2-a) and lateral (Fig. 2-b) radiographs of the right tibia demonstrate valgus bowing, cortical periosteal reaction, and a narrow medullary canal.
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F2
Pre-operative plain radiographs [Figs. 1A-B and 2A-B] of her bilateral tibiae demonstrated thickening of the cortices with narrowing of the medullary canal which was more prominent on the left.
Bone scan of bilateral tibae demonstrates focal increased radiotracer uptake along the medial aspect of the left tibia at the concavity of the curve.
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F3
A bone scan demonstrated mild focal increased uptake along the medial aspect of the left tibia [Fig. 3].
Coronal section of MRI without contrast demonstrated hyper-intense fluid, edema, and cortical thickening along the anteromedial border of the mid tibiae bilaterally.
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F4
MRI of her lower extremities demonstrated postsurgical changes in the mid aspect of the lower legs with hyper-intense fluid, edema, and cortical thickening along the anteromedial border of the mid tibiae bilaterally [Fig. 4].
Anteroposterior (Fig. 5-a) and lateral (Fig. 5-b) radiographs of the left tibia taken 13 months post-operatively demonstrate interval placement of an intramedullary nail.
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F5
Radiographs, including AP and lateral of the right and left tibiae, demonstrated no evidence of fracture and intact hardware [Figs. 5A-B and 6A-B].
Anteroposterior (Fig. 6-a) and lateral (Fig. 6-b) radiographs of the right tibia taken 13 months post-operatively demonstrate interval placement of an intramedullary nail.
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F6
Radiographs, including AP and lateral of the right and left tibiae, demonstrated no evidence of fracture and intact hardware [Figs. 5A-B and 6A-B].