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Foot & Ankle
intermediate
X-Type

Subtalar Arthritis

Hindfoot Pathology

A 48-year-old construction worker presents with 3 years of progressive hindfoot pain after a calcaneal fracture treated non-operatively 5 years ago. Pain is worse on uneven ground, relieved by rest, and localised to the lateral hindfoot. He walks with an antalgic gait. Examination reveals reduced subtalar inversion/eversion with crepitus and a widened heel. Regarding subtalar arthritis:

Mark each as TRUE or FALSE

A

Post-traumatic arthritis (predominantly after calcaneal fractures) is the most common cause of subta...

B

Calcaneal fractures lead to subtalar arthritis through direct articular damage, malunion with incong...

C

Subtalar arthritis primarily causes ankle joint pain; examination should focus on ankle dorsiflexion...

D

Clinical features include hindfoot pain worse on uneven terrain, antalgic gait, reduced subtalar inv...

E

Weight-bearing radiographs (lateral, Harris axial heel view) show joint space narrowing, subchondral...

Answer the questions to see explanations

Click T (True) or F (False) for each option