Description of patient (type of occupation, indication of age, intensity of sport):
Woman 55 years old.
History and previous treatment:
since two years weightbearing pain referred by the patient in the anterior ankle area. No specific previous treatment.
Pain in the anterior ankle area. He stopped heavy work; currently involved in office work. Major professional limitations and pain after short walking
No swelling in the ankle area, preserved ankle ROM. Pain at palpation of the dorsal aspect of the talar neck.
Bone cyst in the neck of the talus.
Additional investigation (CT/MRI):
Talar bone cyst left ankle.
Question(s) to this case:
I would go for autologous bone graft of the cyst. My major concern is about the surgical approach. It appears to be an opening of the cyst located somewhere in the inferior lateral wall of the tatlr neck. Would you suggest a sinus tarsi approach or a dorsal approach to reach the cyst?
I consulted with my tumor surgeons on this case. Probably it is a solitary bone cyst. I would go for a sinus tarsi approach and perform curettage of the cyst, drilling to bleeding bone and adding a massive bone graft.