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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
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Wounds (Definition)

Wounds is also known as Injuries and wounds. A wound is a condition in which a person has some trauma to part of his body in which the surface of the skin or some other organ has been broken open. Wounds include clean cuts, jagged cuts, avulsions (ripping away) of ...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 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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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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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 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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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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