Suppurative tenosynovitis and osteomyelitis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Pus discharge from the lateral aspect of the ankle of long duration

Patient Data

Age: 49 years
Gender: Male
Modality: MRI

Extensive inflammation centered on the peroneus longus and brevis tendons, associated with synovial hypertrophy and enhancement with medial extension to involve the distal fibula and lateral aspect of calcaneus resulting in osteomyelitis. The inflammation extends posteriorly to the Achiles tendon and involve the skin and subcutaneous tissue of the lateral aspect of ankle, showing a sinus tract.

Case Discussion

Suppurative tenosynovitis of peroneii tendons and osteomyelitis. Given the imaging findings and chronicity, TB should be considered.

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Case Information

rID: 23141
Case created: 24th May 2013
Last edited: 9th Dec 2015
Inclusion in quiz mode: Included

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