Atraumatic bilateral insufficiency fractures of the talar neck in a rheumatoid patient

Maria J Bischoff, Inge H Reininga, Tom M van Raaij

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3 Citations (Scopus)

Abstract

We report a 73-year-old female with rheumatoid arthritis, who presented with a 1-year history of ankle pain without trauma. Conventional radiographs showed no bony abnormalities, and bone scintigraphy showed increased uptake in the neck of the left and right talus. Magnetic resonance imaging scans showed insufficiency fractures of the talar neck bilaterally. The patient was treated nonoperatively with weightbearing casts and analgesics. The present case study stresses the need to add insufficiency fractures of the talus to the differential diagnosis of chronic ankle pain when conventional radiographs show no abnormalities.

Original languageEnglish
Pages (from-to)231-4
Number of pages4
JournalThe Journal of Foot and Ankle Surgery
Volume52
Issue number2
DOIs
Publication statusPublished - 22-Jan-2013
Externally publishedYes

Keywords

  • Aged
  • Arthritis, Rheumatoid
  • Casts, Surgical
  • Female
  • Foot Orthoses
  • Fracture Healing
  • Fractures, Stress
  • Humans
  • Magnetic Resonance Imaging
  • Talus

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