History: man with ankle pain.

This is an example of a dorsal talar osteophyte, which is a mimicker of a dorsal talar beak. A dorsal talar osteophyte indicates osteoarthrosis of the talocrural or talonavicular joint. A dorsal talar beak is seen in cases of tarsal coalitions where there are abnormal articulations typically between the calcaneus and the navicular bone or the talus and calcaneus bone. A hypertrophied talar ridge can also mimic a talar beak.
See an overview of tarsal coalition imaging here.




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