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Review Question - QID 6233

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QID 6233 (Type "6233" in App Search)
A 75-year-old woman began a walking program 2 months after undergoing right total knee arthroplasty. She had to stop the program after 4 weeks because of hindfoot pain and ankle swelling. Radiographs are shown in Figures 42a and 42b. What is the most likely diagnosis?
  • A
  • B

Plantar fasciitis

11%

55/484

Osteochondral lesion of the talus

9%

45/484

Heel spur

4%

19/484

Insufficiency fracture of the calcaneus

64%

310/484

Chondrocalcinosis of the ankle joint

10%

48/484

  • A
  • B

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It is often tempting to assign a diagnosis of plantar fasciitis in patients with hindfoot pain. In this patient, the radiographs confirm a diagnosis of a calcaneal insufficiency fracture. The dense condensation of bone on the lateral view confirms the diagnosis. There is no radiographic evidence of a heel spur, osteochondral lesions, or chondrocalinosis.

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