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Don’t put your foot in it: a case of talonavicular septic arthritis
  1. Sally Wright1,
  2. Matthew James Welck1,
  3. Helen Cohen2
  1. 1Foot and Ankle Unit, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK
  2. 2Department of Rheumatology, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK
  1. Correspondence to Dr Matthew James Welck, matthewwelck{at}


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.

  • musculoskeletal and joint disorders
  • medical education
  • orthopaedic and trauma surgery
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  • Contributors All authors have made an individual contribution to the writing of the article. They have all been involved in: conception of report, drafting the article, revising it critically and final approval of the version published. They have also agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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