Osteochondritis dissecans of the talus

Case contributed by Matt Skalski
Diagnosis certain

Presentation

Ankle pain

Patient Data

Age: 35 years
Gender: Male
This study is a stack
Sagittal
T1
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial
STIR
This study is a stack
Coronal
Gradient Echo
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Info

An osteochondral bone fragment is seen at the superomedial aspect of the talar dome. It shows diffuse sclerosis and is surrounded by a sclerotic line of its cavity. A linear high T2 and STIR signal (rim sign) is surrounding the osteochondral fragment suggesting fragment separation. No detachment is seen.

Case Discussion

Features of stage 3 osteochondritis dissecans involving superomedial aspect of the talar dome.

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