In this article, we will discuss osteochondritis dissecans.
Osteochondritis dissecans is a condition in which the cartilage of the bone is subjected to some kind of external force, resulting in lesions and inflammation.
It can be triggered by a sprained ankle, so I would like you to know that it can happen to anyone.
When does it happen?
The lesion is caused by the force applied to the talus by a sprain.
The lesion occurs in the pulley area of the talus.
Typically, there are two types of lesions: anterolateral and posteromedial.
It is characterized by
The most common complaint is that the ankle joint is painful to move, painful when putting weight on it, and a feeling of being caught.
The most common complaints are
There is a lack of physical findings, and it may be detected only by X-ray imaging when an ankle sprain occurs.
Depending on the lesion, surgical treatment may be recommended.
Case
14-year-old female
She was playing basketball and sprained her right foot four months ago.
She visited a medical institution and found the syndrome by chance on an imaging test.
She had no symptoms, but pain appeared in the ankle joint area three weeks ago, and pain occurred when she jumped or stepped on one foot.
An MRI scan revealed a high signal area, and a CT scan was performed, which revealed that the lesion extended to the subchondral bone.
Berndt A. L.,Harty M. : Transchondral fractures(osteochondritis dissecans)of the talus,J Bone Joint Surg Am,41:988-1020,1959.
Summary
Ankle sprains are one of the most common complications of ankle sprains.
In conservative treatment (non-surgical treatment), the reduction of symptoms may be gradual or may not go into remission, and we have heard that there are many cases in which surgical treatment is considered.
When I actually saw a patient in the clinic, it was almost impossible to reduce the pain, so surgery was performed, and I was in charge of the post-operative treatment.I remember that it took a long time. Even if it is not necessary to stop the competition, it becomes difficult to participate in the competition with 100% power, so if we can deal with the problem from the early stage, it may change the way we feel.
