Double osteochondritis of the talus

Osteochondral Defects

Description of patient (type of occupation, indication of age, intensity of sport):

A 46 years old male patient sustained a ankle sprain one year ago. The first line treatment consisted in RICE protocol.

History and previous treatment:

Ankle sprain which was treated with the RICE protocol

Current complaints:

Pain during walking unable to play sport activities

Physical examination:

Pain at the palpation of the anterior-medial and anterior-lateral region of the ankle joint

Case summary:

Ankle pain with double osteochondritis of the talus

Question(s) to this case:

I would like to perform arthroscopic microfracture tecnique, after a CT arthrography in order to assess cartilagine integrity. Is it feasable for this patient?


Yes that is correct: both OCD have bone oedema(correct?) and so they both need treatment! I would not perform arthro CT but just CT. CT gives you much better information