Os subtibiale

Case contributed by Hisham Alwakkaa
Diagnosis almost certain

Presentation

History of ankle twisting.

Patient Data

Age: 8 years
Gender: Male
x-ray

Well-corticated bony fragment adjacent to the medial malleolus represents os subtibiale.

Case Discussion

Os subtibiale is a rare accessory ossicle and represents a normal anatomical variation this is found incidentally on ankle imaging. It is usually asymptomatic and as with all accessory ossicles, it must not be confused for a fracture especially in the trauma setting.

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