Chronic osteochondral defect with cystic change

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Foot pain

Patient Data

Age: 35 years
Gender: Male

The sharply demarcated subchondral cystic lesion in the talar dome in the medial aspect returning low T1 and high T2 signal intensity. There is a surrounding mild T2 high signal region likely edematous.

No fracture or joint effusion. 

Case Discussion

Features most likely represent chronic osteochondral defect with cystic changes (stage 2A of osteochondral injury staging).

Additional contributor: Dr. M. Tahir Aien

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.