Destructive posttraumatic subtalar synovitis.

Kevin C. Strohmeyer, John H Wilckens, William Burkhalter, Jeffrey K. Harpstrite

Research output: Contribution to journalArticle

Abstract

Destructive posttraumatic synovitis is a rare entity usually involving the knee. This case report details the evaluation and treatment of a rapidly progressive and destructive subtalar lesion that occurred in a healthy 27-year-old man after incidental trauma. Initial orthopedic evaluation revealed diffuse ankle tenderness and mild effusion. Radiographic and laboratory studies showed normal findings. Bone scan revealed significantly increased uptake in the talus. Subsequent computed tomography scan and magnetic resonance imaging studies showed a lateral soft-tissue mass invading both the talus and calcaneus with destruction of the subtalar joint. Tissue biopsy samples revealed hypertrophic synovium with villous projections, occasional giant cells, and occasional hemosiderin deposits. The lesion caused rapid and progressive destruction of the subtalar joint despite aggressive conservative measures. Ultimately, the patient underwent a subtalar arthrodesis that led to the resolution of his symptoms and resumption of work and recreational activities. While posttraumatic synovitis is a rarely encountered condition, the orthopedic surgeon must have an index of suspicion, perform a systematic evaluation, and render definitive treatment to ensure a successful outcome.

Original languageEnglish (US)
Pages (from-to)349-352
Number of pages4
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume31
Issue number6
StatePublished - Jun 2002
Externally publishedYes

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Synovitis
Subtalar Joint
Talus
Hemosiderin
Calcaneus
Synovial Membrane
Arthrodesis
Giant Cells
Ankle
Orthopedics
Knee
Tomography
Magnetic Resonance Imaging
Biopsy
Bone and Bones
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Strohmeyer, K. C., Wilckens, J. H., Burkhalter, W., & Harpstrite, J. K. (2002). Destructive posttraumatic subtalar synovitis. American journal of orthopedics (Belle Mead, N.J.), 31(6), 349-352.

Destructive posttraumatic subtalar synovitis. / Strohmeyer, Kevin C.; Wilckens, John H; Burkhalter, William; Harpstrite, Jeffrey K.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 31, No. 6, 06.2002, p. 349-352.

Research output: Contribution to journalArticle

Strohmeyer, KC, Wilckens, JH, Burkhalter, W & Harpstrite, JK 2002, 'Destructive posttraumatic subtalar synovitis.', American journal of orthopedics (Belle Mead, N.J.), vol. 31, no. 6, pp. 349-352.
Strohmeyer, Kevin C. ; Wilckens, John H ; Burkhalter, William ; Harpstrite, Jeffrey K. / Destructive posttraumatic subtalar synovitis. In: American journal of orthopedics (Belle Mead, N.J.). 2002 ; Vol. 31, No. 6. pp. 349-352.
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