Os supratalare

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Rolled ankle. Painful and swollen.

Patient Data

Age: 25 years
Gender: Female

Ankle

x-ray

No fracture or malalignment. Well-corticated bony fragment lies superior to the talar neck and represents an accessory ossicle (os supratalare). Soft tissue swelling over the lateral malleolus.

Annotated image

Red circle highlights position of the os supratalare.

Case Discussion

An os supratalare is an accessory ossicle that projects superiorly to the head or neck of the talus. It can often be confused for an accessory navicular or os talotibiale or an avulsion fracture. 

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