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Osteochondral injury - talus

Case contributed by Mostafa Elfeky
Diagnosis probable

Presentation

Right ankle pain.

Patient Data

Age: 50 years
Gender: Female

Right ankle

x-ray

Rounded lucency is noted in subarticular location of the medial talar dome, suggestive of osteochondral lesion.

Case Discussion

MRI study (not available) revealed subchondral cystic and edematous marrow changes at the medial part of the talar dome associated with signal alteration of the overlying cartilage, reflecting focal osteochondral injury (Stage IIA). Also noted, degenerative osteoarthritic changes of the intertarsal and tarsometatarsal joints with subchondral cystic changes.

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