Subchondral insufficiency fracture of talus

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Pain in ankle; no history of trauma

Patient Data

Age: 50 years
Gender: Female

Significant marrow edema is seen in lateral aspects of talar dome. On a closer look, a liner horizontal hypointensity can be appreciated, parallel to the overlying articular surface.

Mild marrow edema is seen in medial cuneiform bone.

Prominent steida process is seen. Small bony protrusion seen along anterosuperior aspect of talus.

Calcaneal spurs seen along posterior and plantar aspects.

Case Discussion

Significant marrow edema is seen in lateral aspects of talar dome. On a closer look, a liner horizontal hypointensity can be appreciated, parallel to the overlying articular surface.

Findings are in keeping with subchondral insufficiency fracture of talus.

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