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Osteochondritis dissecans

Gruters AKG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondritis dissecans

History: 35 year old active duty Air Force male nordic skiier (National Ski Patrol European Division) who was training for advanced mountaineering expeditions on the Concordia Glacier presents with ankle pain.

Findings: AP and lateral radiographs of left ankle are negative. T1-weighted MR image shows focal area of low signal intensity in the medial aspect of the left talus. FSE T2-weighted MR image with fat saturation shows focal area of high signal intensity in the anteromedial aspect of the left talus.

Ddx: Osteochondritis dissecans Osteochondral fracture Acute stress fracture

Dxhow: Diagnosis confirmed by radiographic findings and patient history of repetitive trauma.

Exam: The patient has point tenderness on the talus and has 12 degrees of pronation bilaterally. He has a history of multiple fractures of the left foot to include a Jones fracture and a navicular fracture. He has disregarded medical advice for post-trauma care in the past. For example, he began water skiing only three weeks after two fractures of the foot with refusal of a cast.

No MeSH data available.


T1-weighted MR image shows focus of low signal intensity in the medial aspect of the left talus.
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MPX2351_synpic45942: T1-weighted MR image shows focus of low signal intensity in the medial aspect of the left talus.


Osteochondritis dissecans

Gruters AKG - MedPix (2009)

T1-weighted MR image shows focus of low signal intensity in the medial aspect of the left talus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2351&req=5

MPX2351_synpic45942: T1-weighted MR image shows focus of low signal intensity in the medial aspect of the left talus.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Osteochondritis dissecans

History: 35 year old active duty Air Force male nordic skiier (National Ski Patrol European Division) who was training for advanced mountaineering expeditions on the Concordia Glacier presents with ankle pain.

Findings: AP and lateral radiographs of left ankle are negative. T1-weighted MR image shows focal area of low signal intensity in the medial aspect of the left talus. FSE T2-weighted MR image with fat saturation shows focal area of high signal intensity in the anteromedial aspect of the left talus.

Ddx: Osteochondritis dissecans Osteochondral fracture Acute stress fracture

Dxhow: Diagnosis confirmed by radiographic findings and patient history of repetitive trauma.

Exam: The patient has point tenderness on the talus and has 12 degrees of pronation bilaterally. He has a history of multiple fractures of the left foot to include a Jones fracture and a navicular fracture. He has disregarded medical advice for post-trauma care in the past. For example, he began water skiing only three weeks after two fractures of the foot with refusal of a cast.

No MeSH data available.