A communication between the subtalar and ankle joint in septic arthritis
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摘要
Septic arthritis requires early clinical recognition and prompt treatment if articular cartilage damage and its sequelae are to be avoided. This case highlights the importance of considering a communication between the ankle and subtalar joint. This communication is acknowledged amongst foot and ankle surgeons, but yet there has been no documentation of such a phenomenon. This case may demonstrates what is either a developmental feature, a pathological process associated with synovitis or a normal variant.

As early treatment of septic arthritis of the ankle significantly affects the outcome [Changgeng Yi, Lee CH, Chen YJ, Ueng SW, Hsu RW. Septic arthritis of the ankle joint. Chang Gung Med J 2000;23(7):420–6], this case report highlights the important role of early Magnetic Resonance Imaging (MRI) in the management of such cases. Therefore, early magnetic resonance imaging or if not available an intra-operative contrast angiography of the ankle and subtalar joints should be considered in all cases of septic arthritis of the ankle.

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