Osteochondritis dissecans of the ankle

Case contributed by Dr Eric F Greif

Presentation

Ankle pain

Patient Data

Age: 20
Gender: Female

There is a curvilinear subcortical lucency between a thin ossific density and the remaining taler dome. There is minimal anterior ankle soft tissue swelling. Findings are consistent with osteochondritis dissecans of the talus. The osteochondral fragment projects into the lateral ankle joint space (visualized on frontal and oblique views as well).  

 

Case Discussion

The talar pathology was missed on a prior radiograph. The patient continued to have pain and a repeat radiograph (above) was performed. The osteochondral fragment can become a free intra-articular loose body. Surgery is performed to prevent secondary osteoarthritis

This is an example of type 3 osteochondritis dissecans.

 

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Case information

rID: 29653
Case created: 11th Jun 2014
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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