Insufficiency fracture distal tibia

Case contributed by Dr Chris O'Donnell


Pain in the ankle for 6 weeks with marked surrounding swelling.

Patient Data

Age: 90 years
Gender: Female

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).  


One month later

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

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.

PlayAdd to Share

Case information

rID: 17124
Published: 18th Mar 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.