Osteochondritis dissecans

Case contributed by Dr Hani Makky Al Salam

Presentation

Ankle pain

Ankle joint

X-ray

Osteochondral fragment at the medial aspect of the talar dome with a corticated outline and minimal separation.

Case Discussion

Features are consistent with osteochondritis dissecans of the ankle joint. The impending separation of the osteochondral fragment is in keeping of grade III lesion. 

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