Dear Colleagues,Thank you for your great input in the ankle trauma case.
Below are the feedbacks that I’ve received
Aveesh: post traumatic avn- colllapse- mechanical synovitis
Nicholas: It’s AVN. JIA wouldn’t affect the talus so extensively without also involving the tibia.
Cyrus: I would tap the joint ASAP. Can’t r/u JIA or septic arthritis with osteo.
JOEL RUBENSTEIN:
My main consideration is large osteochondral defect with partial collapse; vertical fracture line seen posteriorly.
I don’t see serpiginous double line to suggest AVN
Susie Muir: I would agree with AVN. He wasn’t treated for the talar fracture at all?
Hamza: This is a nice case as well. Any clinical concern for infection? I would consider aspirating to be sure. Are there predisposing factors for AVN besides trauma? Would be interesting to see initial X-rays.
BW,
Talaat
