Top
30
Doctor insights on: Talar Dome Contusion

Share
2

2
What is subchondrial marrow oedema of the posteriomedial talar dome?

What is subchondrial marrow oedema of the posteriomedial talar dome?

Injury to the bone: This refers to changes below the surface of the articular. Surface coating of one of the major bones in the ankle. Thelocation of the injury is towards the middle and back side of the ankle. This is uaually the result of some injury, over use, or degenerative changes in the joint. Usually will heal with time and treatment. ...Read more

5

5
Can you tell me about talar dome injury?

Can you tell me about talar dome injury?

Talar dome: They are difficult to treat depending on the severity of the injury arthroscope can help synvisc (hylan g-f 20) injection can help and surgery to replace the defect with cadaver bone can help but truly once you have a severe talar dome injury there will be some level of arthritis in the ankle forever. ...Read more

6

6
Undisplaced verticle talus body fx non united 5 month post injury diagnosed with patchy sclerosis in talar dome. How much time it will take to collapse?

Undisplaced verticle talus body fx non united 5 month post injury diagnosed with patchy sclerosis in talar dome. How much time it will take to collapse?

No way to know: If insured, your in the right window for a bone stim, I advise you make an attempt to get one. It may never collapse, dead bone can be rock hard- stick to your doctors recommendations, non compliance often leads to unnecessary complications. ...Read more

7

7
What are the best treatments for a subchondral cyst (of medial talar dome)?

What are the best treatments for a subchondral cyst (of medial talar dome)?

Depends: A small superficial cyst seen on an MRI can be treated with an arthroscopic evaluation and possible drilling and debridement (removing overlying damaged cartilage). If the cyst is contained and large (on ct) retro grade drilling and bone grafting is done. ...Read more

8

8
What is a focal marrow edema in the medial talar dome with cortical thinning and a 3mm cartilage defect?

What is a focal marrow edema in the medial talar dome with cortical thinning and a 3mm cartilage defect?

You injured your: Talus bone this is the bone that sits on top of the heel bone and connects the foot to the leg. This type of injury is known as a Berndt-Hardy injury. ...Read more

9

9
I'm starting to think I have a fracture of the talar dome. Any advice?

I'm starting to think I have a fracture of the talar dome. Any advice?

Get MRI: This is your opinion or your pcp opinion? I would see an orthopedic surgeon w/ arthroscopy fellowship training or foot/ ankle fellowship training. (or podiatrist). A history, physical exam and x-rays would be performed... If this has already been done get a good- quality MRI scan and a talar dome fracture should be easily seen if present. Treatment if present can then begin. Gl! ...Read more

10

10
How much time talar dome take to collapse after diagnosed with pathy avn in talar dome 5 month post injury. Currently walking on PTB brace.

How much time talar dome take to collapse after diagnosed with pathy avn in talar dome 5 month post injury. Currently walking on PTB brace.

Long time: Treatment of avn of the talar dome can be very challenging both for you and your doctor. Reconstitution (new bone formation) under the talar dome can take 24-36 months. If the dome collapses then treatment options are limited. If you have questions don't hesitate to discuss your prognosis with your doctor.
Good luck. ...Read more

12

12
Patchy sclerosis in talar dome after undisplaced verticle talus body frx. No joint involved. What is the possibility of collapse nd how to protect it?

Patchy sclerosis in talar dome after undisplaced verticle talus body frx. No joint involved. What is the possibility of collapse nd how to protect it?

PWB with CAM Walker: Patchy sclerosis is decreased vascularity in those spots. We need to monitor for increase in the size of the patch, w/c would be concerning for avn of the talus. Possiblity of collapse depends on patch size. (less likely if patch is small).How to protect? By wearing a cam walker and/or crutches. Need to check periodically with a mri. If the patch increases, see a foot & ankle specialist. ...Read more

13

13
Usually what is the time for collapse of talar dome after avn confirmed by CT scan 5 month post injury. Undisplaced verticle talusbody fx.

Usually what is the time for collapse of talar dome after avn confirmed by CT scan 5 month post injury. Undisplaced verticle talusbody fx.

Time for collapse: There are many variables it may never collapse but in severe cases it can occur I would see specialist either an orthopod or a podiatric surgeon specializing in the rearfoot. ...Read more

14

14
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

15

15
Patchy sclerosis in talar dome by CT scan. How specific is CT scan to confirm talus avn 5 month post injury?

CT Scan: Is what I order to diagnose avascular necrosis. It is very specific and helpful in diagnoses. Get ct scan if that's what your dr. Ordered! Good luck! ...Read more

17

17
I sprained my ankle 3 months ago, still swollen and it is tender around my talar dome/fibula. Is it a possible ligament tear?

I sprained my ankle 3 months ago, still swollen and it is tender around my talar dome/fibula. Is it a possible ligament tear?

Good Guess: Anything is possible. Your ankle needs to evaluated both physically and with imagery. See a professional. ...Read more

19

19
How effective is PTB brace in case of talus avn. Patchy sclerosis in talar dome confirmed by CT scan 6 month post injury. Walking with PTB small pain.

Effective: A PTB brace transfers weight of body to the patella tendon. It is the only way short of using crutches to unweight the ankle joint. The hope is that it allows the body to revascularize the talus, a process that can take unto a year or more. Hopefully preventing collapse of the talus and arthritis. ...Read more

20

20
Doc advised for PTB brace for non united undisplaced verticle talus body fx 5 month post injury. Patchy sclerosis in talar dome by CT scan. Options? ?

Yes: A PTB brace is a viable alternative to surgery. Although the healing process may or may not be 100%, it is still a good alternative and worth a try before undergoing surgery. Best of luck. ...Read more

21

21
Usdisplaced verticle talus body fracture with patchy sclerosis in talar dome detect by CT scan 5 month post injury. Doc advised for vascular grafting?

Avasular necrosis: Sclerosis in bone on ct or xray can mean one of two things when related to trauma, either repair bone or bone that is not vascularized or avascular necrosis. The usual methods of confirming avascular necrosis are either bone scan or mri.Ct scan is not as specific as the above studies. Vascular grafting is procedure to revascularize the bone. ...Read more

22

22
Mri:very small area with abnormal high signal intensity on t2 fat sat is seen in the dome of the talus suggestive for subchondral edamatous contusion?

Mri:very small area with abnormal high signal intensity on t2 fat sat is seen in the dome of the talus suggestive for subchondral edamatous contusion?

Talar dome lesion: This could indicate a possible talar dome lesion. Talar dome lesions are usually caused by an injury, such as an ankle sprain. If the cartilage does not heal properly following the injury, it softens and may break off. Sometimes a broken piece of the damaged cartilage and bone will “float” in the ankle. ...Read more

23

23
What is A contusion?

What is A contusion?

A bruise: Contusion is the medical word for bruise. When it occurs on the skin, it means the tiny blood vessels near the skin have broken, usually creating a red/purple-ish lesion. ...Read more

24

24
How do I treat a lower back contusion?

How do I treat a lower back contusion?

Back sprain: Avoid excessive lifting bending and twisting try an inflammatory medication if it does not get better in a week see your doctor. ...Read more

25

25
Does subchondral edematous contusion take 1 year to heal?

Does subchondral edematous contusion take 1 year to heal?

It varies: It is not uncommon for a contusion such as is this to take a while to heal. However I would make certain that after a couple months of continued pain that it is for the evaluated with an MRI or other testing to ensure that there is no fractures that are just very small and can't be seen. ...Read more

26

26
Have rib contusions what is the best thing to do for pain.

Conservative care: Just go with tylenol (acetaminophen) and advil with local heat alternating with cold. You don't want to wrap your chest with an ace bandage or any other type of binder, because you don't want to inhibit full inhalation or you may set yourself up for getting a pneumonia! relative rest and time should do the job. If things don't get any better or you have shortness of breath, you may need to check in with your fp. ...Read more

28

28
How fast can I make my contusion go away?

Naturally: A contusion will heal on its and on its own time. Intervention is likely to make matters worse. Right after the contusion occurred an ice pack for the first four hour or so may have lessened the severity of the contusion. After that moderate heat may facilitate clearance. ...Read more

30

30
How common is it for somebody to get a contusion?

How common is it for somebody to get a contusion?

More than we think: Contusions- bruising in the brain probably happens more often than we think. Many athletes with head injuries have suffered unknown contusions in the brain- thinking these were only concussions. The symptoms are identical and contusions are actually much more serious. Hopefully we will be more vigilant in the future while we observe head injuries more closely. ...Read more