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Osteochondritis dissecans.

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondritis dissecans.

History: Patient is a 35-year-old man with a history of a left distal fibular fracture in January 2003. He now presents with repeated episodes of pain and swelling around the left lateral malleolus after playing basketball.

Findings: AP and mortise radiographs of the left ankle shows a lucency in the medial talar dome. T1-weighted sagittal MR image of the left ankle shows a focus of low signal intensity in the talar dome. Coronal proton-density MR image with fat saturation and sagittal STIR MR image shows a focal high-signal-intensity osteochondral lesion of the medial talar dome with associated edema in the talus

Ddx: 1.Osteochondral fracture 2. Osteochondritis dissecans

Exam: Physical exam was unremarkable. Complete blood count and basic metabolic panel were within normal limits.

No MeSH data available.


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Osteochondritis dissecans.

Patterson RAP - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2069&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondritis dissecans.

History: Patient is a 35-year-old man with a history of a left distal fibular fracture in January 2003. He now presents with repeated episodes of pain and swelling around the left lateral malleolus after playing basketball.

Findings: AP and mortise radiographs of the left ankle shows a lucency in the medial talar dome. T1-weighted sagittal MR image of the left ankle shows a focus of low signal intensity in the talar dome. Coronal proton-density MR image with fat saturation and sagittal STIR MR image shows a focal high-signal-intensity osteochondral lesion of the medial talar dome with associated edema in the talus

Ddx: 1.Osteochondral fracture 2. Osteochondritis dissecans

Exam: Physical exam was unremarkable. Complete blood count and basic metabolic panel were within normal limits.

No MeSH data available.