OD lesion
OD stands for Oculus Dexter which means the right eye in Latin. Therefore, "OD lesion" refers to a lesion or abnormality in the right eye.
October 13, 2014 | 20,00 EUR | answered by Dr. med. Ive Dr. Schaaf
Hello, 10 weeks ago I had a sprained ankle, with persistent pain since then. Now an MRI was done with the following findings: Increase in fluid-typical signal pathology in the upper egg in the lower ankle joint. A fresh cartilage flake is not visible, but a focal cartilage injury with intraosseous accompanying reaction suggestive of an OD lesion in the lateral talus shoulder. Beginning structural disorder in the upper ankle joint. Rupture of the anterior syndesmosis, rupture of the ligamentum fibulotalare anterius, partial rupture of the posterior lateral ligaments. Inner band structure intact. Segmental bone marrow edema at the talus contour towards the attachment of the ligamentum talocalcaneare, partially ruptured. What is the treatment plan? Currently taking enzymes and fully weight bearing on the foot despite the pain.
Good day,
here is the translation of your findings:
Increase in fluid-typical signal pathology in the upper part of the lower ankle.
- There is fluid present in the ankle.
A fresh cartilage flake is not visible, but there is a focal cartilage damage with intraosseous reactive changes, suggestive of an OCD lesion of the lateral talus shoulder.
- There are no fresh detachments from the joint surface, but a pre-existing round area in the bone, belonging to the lower ankle, seems to have been undergoing detachment and dissolution for some time.
Beginning structural disturbance in the upper ankle.
- The joint surfaces in the upper ankle are no longer perfectly aligned.
Rupture of the anterior syndesmosis, rupture of the anterior talofibular ligament, partial rupture of the posterior lateral ligaments.
- Several important ligaments associated with the ankle have torn or partially torn. Especially the ligament responsible for stability between the tibia and fibula is torn.
Intact medial ligament structure.
- The ligament on the inside of the ankle is intact.
Segmental bone marrow edema at the talus lower contour towards the insertion of the talocalcaneal ligament, partially ruptured.
- In the lower ankle, a part of the bone is not properly supplied with blood and the ligament attaching here is torn.
Assessment:
Your ankle is not stable and it is unlikely to stabilize without surgery.
You should see a specialist - orthopedic surgeon / foot surgeon - to discuss the options.
Your problem is quite complex, there seems to be an unnoticed pre-existing condition and the injury 10 weeks ago has likely caused more damage than initially thought.
Closing your eyes and pushing through, no matter how much it hurts, is not a good idea in this case. Sorry.
Best regards,
Dr. Schaaf
