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subchondral cysts in ankle - ankle surgeons

Posted In: Medical Stories 2 Replies
  • Posted By: david.galbraith
  • April 15, 2007
  • 06:23 AM

First felt ankle pain Dec 2002 aged 38 (NO knock or incident) just very sore when I tried to put weight on my ankle. Pain came on suddenly at football training one night. Ankle has never been right since.

Pain would disappear especially if I did NO activity. Pain could be very sharp if I got up from my desk but would completely disappear after a few steps. Pain in ankle was related to extent of exercise. I would NOT really feel any pain during the football game however would be in pain immediately after a game. Pain would ease off quickly the following day.

Point of pain varies, though generally across arch or medial or lateral side of foot. Physiotherapy makes it worse as does any exercise. No sign of any real swelling or tenderness.

Aberdeen MRI scan showed a small lesion in the talar joint. I had an athroscopy operation performed in Aberdeen, Dec 2005 however this made matters significantly worse. The surgeon removed a lesion, performed a debridment and microfracture. According to the latest MRI scan Mar 2007 in australia the microfractrue seems to have left a cluster of large subchondral cysts in the talar dome of the talus.

My options would appear to be;
1) to leave the cysts. I can walk OK though after a few hours of walking my ankle gets sore. I can't play any sport.

2) to have the cysts removed however this would invlove removing the cartilage. The surgeon would then perform an autograft over the damaged area. This is what the Australian surgeon suggested though he has only done this type of operation in the knee before.

3) Removing the cysts by drilling through the talus from the sinus tarsi region below and scucking out the cyst leaving the cartilage intact. An autograft would then be performed to pack the hole. I would probably have to find another specialist surgeon to do this type of operation.

The pain is NOT located where the cysts are and varies dramatically between the front and both sides of my ankle.

Any comments / advice / names of specialist surgeons who have done this type of operation before would be very welcome.

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2 Replies:

  • I know this post is quite old but i have the same type of subchondral cysts in the talar dome and i was wondering if you ever had surgery or what your out come was? you can email me at mande81@gmail.com
    Anonymous 42789 Replies Flag this Response
  • I too have been recently diagnosed with subchondral cysts in my ankle. I've done a lot of research and the most common suggestion was to leave the cysts alone. If surgery is performed, you are risking infection. They say that the cysts will dissolve on their own in time. I know how painful they are as I have been dealing with the pain on a daily basis. Hope this will be of help.
    nwmedical 1 Replies
    • February 26, 2012
    • 03:21 AM
    • 0
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