PMC5206463_01
Swollen right ankle.
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F1
An 8-year old girl presented at the clinic with complaints of pain, swelling and restricted mobility persisting for 3 months in her right ankle (Figure 1).
Spotted osteoporosis in calcaneus and navicular bones.
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F2
Ankle radiography was repeated after patient presented at orthopedic clinic after 1 month of continued pain, and spotted osteoporosis (OP) was detected in calcaneus and navicular bones (Figure 2).
Spotted form and millimetric sizes in all tarsal bones, fluid collection surrounding the peroneal tendons and tibialis posterior tendon.
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F3
Multiple hyperintense signal increases were observed in spotted form on T2-weighted MRI (magnetic resonance imaging) series in millimetric sizes in all tarsal bones, as well as the presence of tibiotalar-diffused intra-articular effusion, fluid in most of the intertarsal joints and surrounding peroneal tendons and tibialis posterior tendon consistent with tendinitis (Figures 3, 4).
Tibiotalar-diffused intra-articular effusion, fluid collection in intertarsal joints.
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F4
Multiple hyperintense signal increases were observed in spotted form on T2-weighted MRI (magnetic resonance imaging) series in millimetric sizes in all tarsal bones, as well as the presence of tibiotalar-diffused intra-articular effusion, fluid in most of the intertarsal joints and surrounding peroneal tendons and tibialis posterior tendon consistent with tendinitis (Figures 3, 4).