Description of patient (type of occupation, indication of age, intensity of sport):
45 year old male. ankle inversion injury 3 days ago
History and previous treatment:
no history
Current complaints:
pain obviously
Physical examination:
not yet examined
Radiology:
X-ray:
[Picture 1 + 2]
OCL medial dome
Additional investigation (CT/MRI):
[Picture 3 + 4]
OCL with fragmentation?
Images:
Case summary:
45 year old male with ocl
Question(s) to this case:
do you think this is new or old finding? what would you do? scope? debride? fix through osteotomy? observe?
Expert:
This is a preexisting OCD: there is osteofyte on talus and small cystic lesion (sagital reconstruction: posterior). The patient had no symptoms before: therefor stay conservative. If complaints of deep ankle pain persist then debridement and bone marrow stimulation