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How do you treat this condition, found in a middle-aged skiier with history of ankle inversion sprain (years ago), and now with pain mostly when skiing and hitting bumps: (from MRI report) "...osteochondral injury of the medial talar dome...1.5cm focus of diminished T1 signal corresponding to multiple small subarticular cysts seen on the T2-series...adjacent patchy marrow edema inferiorly...overylying chondromalacia." There were no fragments. The tibial plafond is okay. I am not familiar with surgical procedures and do not know about outcomes in this regard. Since his symptoms are mostly when skiing, occasionally when hiking, and usually not during his normal day, I wonder whether surgical consultation is even worth while. Any thoughts on this would be appreciated.
Thanks,
Scott
www.drgillman.com
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