Insufficiency fracture distal tibia

Case contributed by Dr Chris O'Donnell

Presentation

Pain in the ankle for 6 weeks with marked surrounding swelling

Patient Data

Age: 90
Gender: Female
Modality: X-ray

Generalized reduction in bone density consistent with the advanced age and gender of the patient, marked surrounding soft tissue swelling but no fracture (only minor sclerosis in distal tibia).  

repeat one month later

Modality: X-ray

Persistence of soft tissue swelling and development of a sclerotic band in the distal tibia laterally.

Modality: Nuclear medicine

Marked increase in vascularity surrounding the ankle with a transverse band of intense isotope accumulation in the distal tibia corresponding to the site of sclerosis on the X-ray.

Case Discussion

Insufficiency fracture in a typical location.

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Case Information

rID: 17124
Case created: 18th Mar 2012
Last edited: 23rd Sep 2015
Inclusion in quiz mode: Included

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