Insufficiency fracture distal tibia

Case contributed by Dr Chris O'Donnell

Presentation

Pain in the ankle for 6 weeks with marked surrounding swelling.

Patient Data

Age: 90 years
Gender: Female

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).  

X-ray

One month later

Persistence of soft tissue swelling and development of a sclerotic band in the distal tibia laterally.

Nuclear medicine

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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Case information

rID: 17124
Published: 18th Mar 2012
Last edited: 10th Jul 2019
Inclusion in quiz mode: Included

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