Description of patient (type of occupation, indication of age, intensity of sport):
33 years old male.
History and previous treatment:
Deep ankle pain for years. Brace, conseravative treatment not successful. MRI in 2013 and 2015
Current complaints:
Pain increased in the last year, after walking, running deep ankle pain.
Physical examination:
No instability, no impingement sign. Slight tenderness at the medial malleolar corner. No fluid in the joint.
Radiology:
X-ray:
X-ray from 2013, no abnormalities.
Additional investigation (CT/MRI):
[Picture 1 + 2]
Images:
Case summary:
Young male with ankle deep pain, MRI shows a lesion in the medial malleolus.
Question(s) to this case:
What is that in the medial malleolus? Is that the origin of the pain? How to treat?
Expert:
This is an intraosseous ganglion. Treatment can be with retrograde drilling and filling of the defect with an autograft.