Osteochondral Lesion of the Talus

Bradley J. Stockton, Robert E. Boyles

DOI: 10.2519/jospt.2010.0406

The patient was a 27-year-old male soldier in the United States Army who presented to a physical therapy clinic with a chief complaint of left ankle pain following an inversion ankle sprain during a road march. Observation revealed bilateral pes planus with a nonantalgic gait. Active range of motion measurements of the ankle revealed excessive inversion and decreased dorsiflexion on the left ankle. Ankle radiographs revealed an osteochondral defect of the medial talar dome, and magnetic resonance imaging revealed an abnormality on the medial aspect of the talar dome, with considerable bone marrow edema and depression of a portion of the articular cortex. The patient was referred to an orthopaedic surgeon and underwent left ankle mosaicplasty and medial malleolar osteotomy.

J Orthop Sports Phys Ther 2010;40(4):238. doi:10.2519/jospt.2010.0406

KEY WORDS: ankle, magnetic resonance imaging, radiographs

The patient was a 27-year-old male soldier in the United States Army who presented to a physical therapy clinic with a chief complaint of left ankle pain following an inversion ankle sprain during a road march.

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