Presentation
Pain in the ankle for 6 weeks with marked surrounding swelling.
Patient Data
Age: 90 years
Gender: Female
From the case:
Insufficiency fracture distal tibia
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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).
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Persistence of soft tissue swelling and development of a sclerotic band in the distal tibia laterally.
From the case:
Insufficiency fracture distal tibia
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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.
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