Fig. 3
From: An unusual example of hereditary multiple exostoses: a case report and review of the literature
Right proximal leg. a Superficial dissection. Gastrocnemius (a) has been reflected to show the osteochondroma (b) of the head of the fibula causing deformity of the soleus muscle (c). b Lateral view. (a) Fibula. (b) Cartilage capped osteochondromas of head of fibula. c Transverse CT scan through fibular head. Osteochondroma visible with cortical bone (a) and trabecular (b) continuous with the underlying normal bone. A synostosis between the tibia and fibula can be seen (c). d DESS MRI sagittal section. The osteochondroma of the fibular head can be seen containing trabecular bone (a). The synostosis between the fibular and tibia heads can be observed (b). Like the femur and radius the tibia contains large gaps in the trabecular bone structure (c). Cortical destruction has occurred (d). e Transverse CT scan through distal tibia and fibula. An osteochondroma on either the tibia (a) or fibular (b) has formed a synostosis (c) at the distal end of the two bones