Presentation
Worsening left ankle pain.
Patient Data
Age: 16 years
Gender: Female
From the case:
Juvenile idiopathic arthritis
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- 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
From the case:
Juvenile idiopathic arthritis
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- 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.
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