Abstract
Osteochondromas arising from the interosseous border of the distal tibia and involving distal fibula
are uncommon. We present a 16 year old young boy with an impending fracture, erosion and
weakness of the distal fibula, secondary to an osteochondroma arising from the distal tibia. Early
excision of this deforming distal tibial osteochondroma avoided the future risk of pathological
fracture of the distal fibula, ankle deformities and syndesmotic complications.