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BMJ Case Rep. 2018 Jan 26;2018. pii: bcr-2017-222912. doi: 10.1136/bcr-2017-222912.

Don't put your foot in it: a case of talonavicular septic arthritis.

Author information

1
Foot and Ankle Unit, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
2
Department of Rheumatology, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Abstract

We present the second documented case of primary septic arthritis of the talonavicular joint. This patient had a number of medical comorbidities, including chronic widespread pain including the ipsilateral limb, which made diagnosis an even greater challenge. Although a clinical diagnosis, joint fluid aspiration remains the gold standard. Prompt surgical drainage with adjuvant antibiotic treatment is recommended, and management requires a multidisciplinary team approach. The aim of treatment is to avoid the sequelae of joint destruction, pain and foot deformity.

KEYWORDS:

medical education; musculoskeletal and joint disorders; orthopaedic and trauma surgery

PMID:
29374644
DOI:
10.1136/bcr-2017-222912

Conflict of interest statement

Competing interests: None declared.

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