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

BMJ Case Rep. 2018 Jan 26;2018:bcr2017222912. doi: 10.1136/bcr-2017-222912.


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.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Arthritis, Infectious / diagnosis*
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / therapy
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Drainage / methods*
  • Female
  • Humans
  • Middle Aged
  • Synovial Fluid / microbiology*
  • Tarsal Joints / microbiology*


  • Anti-Bacterial Agents