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Doctor insights on: Osteochondral Lesion

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My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

See orthopedist : Those findings especially at the dome of the talus was once osteochondritis dessicans. To try and avoid further aritic findings talk to your doctor. That talar finding is an "old" injury. So too is enthesophyte ( spur) ...Read more

Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

MRI -Marrow edema, chondral thinning, elongated osteochondral lesion (6x17mm) lateral talar dome.increased signal distal syndesmosis -- need surgery?

Talar Dome Lesion: Kolleen, you have a large lesion off soft bone inside your ankle. Surgery can be an option, but attempting to create a pain free environment (from boot to just activity restrictions), contrast bathing nightly to increase circulation, Exogen bone stimulator for 9 months, repeat MRI in 6 months to see if improvement is being made, and other treatments available may avoid surgery. Dr Blake ...Read more

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Is a talar dome lesion the same as an osteochondral lesion or osteochondral fracture? Please explain. Also what is the treatment?

Is a talar dome lesion the same as an osteochondral lesion or osteochondral fracture? Please explain. Also what is the treatment?

Might be: usually OCD implies talar dome lesion but doesn't have to be the same. Rx is casting and immobilization and hopefully it heals. If not, surgery ...Read more

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I'm 37 yrs old, bad knee pain,knee MRI says osteochondral lesion & subchondral cyst marrow edema suprapatellar effusion. What's wrong with my knee?

I'm 37 yrs old, bad knee pain,knee MRI says osteochondral lesion & subchondral cyst marrow edema suprapatellar effusion. What's wrong with my knee?

Inflammation: Your knee is inflamed. See a doctor. Consider lifestyle changes to address underlying inflammation. Try anti-inflammatory foods; avoid inflammatory food. Eliminate toxic exposures. Exercise judiciously--isometric exercises to begin. Progress to passive, then active, range of motion exercises, strengthening and endurance exercises. Read "Foods That Fight Pain" by Neal Barnard, MD. ...Read more

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What is the best treatment/ surgery for an osteochondral defect?

What is the best treatment/ surgery for an osteochondral defect?

Defect: You don't state where the defect is , so it is hard to say anything beside see an orthopedic surgeon if it is not in the foot/ankle and a podiatrist if it is in the foot or ankle ...Read more

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What should I do if I have Osteochondral Defect of the Right Ankle? Thank You :)

What should I do if I have Osteochondral Defect of the Right Ankle? Thank You :)

Ortho evaluation now: Seek evaluation form an orthopaedic surgeon who can evaluate and treat the cartilage lesion to the ankle articular surface. Surgical treatment options include arthroscopic debridement as well as cartilage restoration surgery. ...Read more

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What does tiny cystic change posteriorly at the level of the tibial plateau mean? What does acute osteochondral injury mean? MRI report Explain Thanks

What does tiny cystic change posteriorly at the level of the tibial plateau mean? What does acute osteochondral injury mean? MRI report Explain Thanks

Mri report: hi ~ tiny cystic etc,means that theres a few tiny bone cysts in the top of the tibia where the cartilage of the joint meets the bone. The tibial plateau is there surface of the tibial aspect of the knee joint and it usually the cartilage of the joint. Osteo chondral tear, means tear of cartilage off bone.Sounds like you have a bucket handle tear of cartilage and will need arthroscopy. Go back Orth ...Read more

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On my ankle op report it states "osteochondral defect was very atrophic with no fibrocartilage in its base." I'm trying to figure out the meaning. Thx?

On my ankle op report it states "osteochondral defect was very atrophic with no fibrocartilage in its base." I'm trying to figure out the meaning. Thx?

Missing cartilage: Cartilage is the bearing surface that allows your joints to move smooth and painlessly. "Osteochondral defect" means that not only was there an area found without cartilage but there was some bone missing as well. That there it had no "fibrocartilage " would indicate the body had not tried to repair it at all by producing scar tissue. ...Read more

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I have a 3 mm talar dome osteochondral injury occuring 3 months ago.. Would the small tibiotalar joint effusion be as a result?

I have a 3 mm talar dome osteochondral injury occuring 3 months ago.. Would the small tibiotalar joint effusion be as a result?

Yes: This type of injury is usually a result of trauma, so joint swelling is common. I suggest you see a Podiatrist as you might need surgery to treat this problem. ...Read more

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How do I strengthen my running following osteochondral defect of the knee surgery? It has been 4 months since the screws have been taken out.

How do I strengthen my running following osteochondral defect of the knee surgery? It has been 4 months since the screws have been taken out.

Work the whole leg: Build strength above your baseline in the muscles of the belly, back, hips & thighs. Work on your tolerance for impact by skipping and jumping (use calisthenics, plyometrics, your choice). Be sure the surgeon has cleared you for these activities (that there has been good bone growth). Start running on an easy schedule and not where you left off before the surgery. Any pain signals a slow down. ...Read more

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C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

Spinal stenosis: That is another way to describe a condition known as spinal stenosis. One way to say it is that you have developed some bone spurs (oseochondral bars) that are narrowing (narrowing equals stenosis) the central part of the nerve canal but not the for amen. I would discuss your findings and treatment options with your doctor. ...Read more

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What is the difference between an osteochondral surgery and partial knee replacement?

What is the difference between an osteochondral surgery and partial knee replacement?

Preservation vs repl: Bone preservation vs bone replacement. Based on your age each has an advantage over the other. After 40 years of age replacement is a more predictable procedure. ...Read more

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Can't bend knee past 90 degrees after Osteochondral Allograft knee surgery (4 weeks post op) should I be concerned?

Can't bend knee past 90 degrees after Osteochondral Allograft knee surgery (4 weeks post op) should I be concerned?

Ask your surgeon: Too many variables to give adequate answer in this forum. Call your surgeons office today and ask the staff about expectations. As a surgeon, I want to hear about concerns my patients may have. Good luck. ...Read more

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In june 2013 i had a denovo graft to repair an osteochondral defect on left ankle. I have a burning sensation and my ankle will give way. Why?

In june 2013 i had a denovo graft to repair an osteochondral defect on left ankle. I have a burning sensation and my ankle will give way.  Why?

Ankle pain: You may have underlying instability of the ankle from ligament injury. The burning sensation can be from the original surgery if a sensory nerve is irritated. Check with your original surgeon and get a reevaluation. ...Read more

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Extreme lower outer thigh pain 11d post op l knee arthro-mpfl repair &removal of osteochondral piece-severe swelling, hard to bend 3mth since injury?

Extreme lower outer thigh pain 11d post op l knee arthro-mpfl repair &removal of osteochondral piece-severe swelling, hard to bend 3mth since injury?

Pain @ 11d is common: When fluid and swelling are present in the knee, you will usually see it on outer part of thigh. If a tourniquet was used it can also cause residual but temporary pain in thigh. If the surgeon did a lateral release that also causes pain on outer thigh. If pain is severe you should have your doctor examine to make sure there is not an infection or determine if fluid needs to be removed from knee. ...Read more

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What types of physical therapy can I do to help an osteochondral defect in my knee?

What types of physical therapy can I do to help an osteochondral defect in my knee?

Motion & strength: The goal of physical therapy is to maximize functional recovery after injury or surgery by performing exercises to regain motion and strength about the knee. ...Read more

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I have bad sprained ankle and Osteochondral defect in same ankle. Could this cause the leg to get swollen (from below the knee down to the ankle)?

I have bad sprained ankle and Osteochondral defect in same ankle. Could this cause the leg to get swollen (from below the knee down to the ankle)?

I would be concerned: For a clot in the leg and I don't think your symptom is consistent with your injury and advise you to have it checked out ASAP, always better safe then sorry. ...Read more

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Knee dislocated 1mth ago recent MRI says"loose intra-articular osteochondral fragment 9mm in size" what does this mean? How to fix it?

Knee dislocated 1mth ago recent MRI says"loose intra-articular osteochondral fragment 9mm in size" what does this mean? How to fix it?

Osteochondral : Fragment is a piece of bone (osteo) and cartilage (chondral) that probably broke off when you dislocated your knee. Depending on size and location of the defect and how long it has been since the injury, an orthopedic surgeon may try to put the piece back where it came from and see if it heals. Alternatively, the surgeon may simply remove the loose body so it doesn't cause any further damage. ...Read more

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