Juvenile idiopathic arthritis

Case contributed by Jane McEniery
Diagnosis certain


Worsening left ankle pain.

Patient Data

Age: 16 years
Gender: Female
  • generalized osteopenia
  • widening of the distal tibial and fibular metaphyses with epiphyseal overgrowth
  • joint space loss at the talocrural articulation
  • flattening and sclerosis of the talar dome
  • diffuse chondral loss throughout the articulations of the hindfoot
  • joint effusions and synovitis
  • epiphyseal overgrowth
  • flattening of the talar dome

Case Discussion

This is a case of longstanding JIA. The main differential diagnosis is hemophiliac arthropathy.

If not previously performed, management includes imaging of other symptomatic joints and joint fluid aspiration.

Case contributed by Dr Patricia Connor. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.