February 1986

Picture of the Month

Author Affiliations

Contributed from the Department of Orthopedic Surgery, The Presbyterian Hospital in the City of New York at Columbia-Presbyterian Medical Center.

Am J Dis Child. 1986;140(2):163-164. doi:10.1001/archpedi.1986.02140160081040

Denouement and Discussion 

Tailor Talar Bursa 

Manifestations  The tailor talar bursa presents as a nontender fluctuant mass on the dorsolateral aspect of the proximal foot. It is usually situated just lateral to the extensor digitorum longus muscle and directly over the lateral aspect of the distal end of the talus. Frequently, it is covered with thickened and sometimes increasingly pigmented skin.Like all superficial bursae, the tailor talar bursa develops in response to chronic irritation. Children who present with these lesions habitually sit cross-legged, tailor fashion, with the talar head pressed against the floor. A less frequent occurrence is the development of thickened skin and a bursa a bursa over the lateral malleolus.

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