Periostitis osificante tibial bilateral en adolescente deportista. A propósito de un caso

espanolSe describe un caso clinico de periostitis osificante tibial, en un deportista adolescente jugador de voleibol, de caracter bilateral y simetrico, situacion infrecuente en la practica clinica diaria. El diagnostico se basa fundamentalmente en la historia clinica, apoyado en un estudio radiografico y, sobre todo, complementado con RMN y gammagrafia que nos daran las claves para evitar confusiones con otras patologias de similar presentacion y mayor gravedad. El tratamiento, que consiste en la disminucion de la actividad fisica causante, AINEs y correccion de los trastornos morfotipicos, asi como una mejor adecuacion al entrenamiento deportivo, suele proporcionar excelentes resultados. EnglishThe case describes periostitis ossificans of the tibia in a teenage volleyball player. The pathology is bilateral and symmetric, a rare condition in daily clinical practice. The diagnosis is based mainly on clinical history, supported by a radiographic study and, over all, an MRI scan and a gammagram that provide the keys for avoiding confusion with other diseases that have a similar manifestation yet are more serious in nature. Treatment, which consists of a decrease in the causative physical activity, use of NSAIDs and the correction of morphotypic disorders, as well as a better adaptation to sports training, usually provides excellent results.