Posterior ankle impingement

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Posterior ankle pain.

Patient Data

Age: 17 years
Gender: Male
Modality: X-ray

Elongated posterolateral talar (stieda) process. No fracture, no other bony or articular abnormality. 

Modality: MRI

Elongated lateral tubercle of the talus (Stieda process) as well as mild posterior lateral capsular thickening and synovitis with mild focal tenosynovitis involving the flexor hallucis longus. 

The posterior talofibular ligament also appears mildly thickened with intermediate T1 and T2 signal intensity.  

Focal marrow oedema signal of the medial talar dome is seen with hypointense T1 and hyperintense T2 and STIR signal with likely small osteochondral lesion.

Intact collateral ligaments and tendo-achilles. No joint effusion. 

Case Discussion

Posterior ankle impingement with elongated posterolateral talar Stieda process.  

PlayAdd to Share

Case Information

rID: 38578
Case created: 26th Jul 2015
Last edited: 5th Jul 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.