Torn anterior talofibular ligament with talar dome osteochondritis dissecans

Case contributed by Amro Omar , 30 Apr 2015
Diagnosis certain
Changed by Henry Knipe, 30 Apr 2015

Updates to Case Attributes

Title was changed:
Torn anterior talofibular ligament with talar dome OCDosteochondritis dissecans
Presentation was changed:
Ankle pain, history of old trauma.
Body was changed:

AnteriorThe anterior talofibular ligament is the weakest of the lateral collateral ligaments. It extends from anterolateral malleolar tip to talar neck.

Osteochondral lesionlesions (OCL): Umbrella are an umbrella term for focal injury of articular cartilage and underlying bone:

  • Osteochondralosteochondral injury (or fracture): Usuallyusually reserved for acute osteochondral lesion
  • Osteochondritisosteochondritis dissecans (OCD): Chronicchronic osteochondral lesion
  • -<p>Anterior talofibular ligament is the weakest of the lateral collateral ligaments. It extends from anterolateral malleolar tip to talar neck .</p><p>Osteochondral lesion (OCL): Umbrella term for focal injury of articular cartilage and underlying bone :</p><ul>
  • -<li>Osteochondral injury (or fracture): Usually reserved for acute osteochondral lesion</li>
  • -<li>Osteochondritis dissecans (OCD): Chronic osteochondral lesion</li>
  • +<p>The anterior talofibular ligament is the weakest of the lateral collateral ligaments. It extends from anterolateral malleolar tip to talar neck.</p><p>Osteochondral lesions (OCL) are an umbrella term for focal injury of articular cartilage and underlying bone:</p><ul>
  • +<li>osteochondral injury (or fracture): usually reserved for acute osteochondral lesion</li>
  • +<li>osteochondritis dissecans (OCD): chronic osteochondral lesion</li>

Tags changed:

  • ankle
  • ankle mri

Updates to Study Attributes

Findings was changed:

Main findings in this case are:

Torn

  • torn anterior talofibular ligament
  • OCD is seen in the medial talar dome

    Bone

  • bone marrow edema seen in the posterior malleolus

    Fluid

  • fluid signals are seen within the sheaths of the tibialis posterior and peroneus brevis tendons (Tenosynovitis(tenosynovitis)

    Ankle

  • ankle joint effusion with significant surrounding soft tissue edema are noted .

    Susceptibility

  • susceptibility artifacts are seen at the skin over the lateral malleolus likely of the surgical stitches

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