Portion of my Talus Talar Dome is missing

[omarfr]

I am a 37 years old male, living in the USA. When I was 19 years old I injured my ankle during soccer game. Unfortunately, my injury was misdiagnose at that time. Last year I was start feeling pain around my ankle, My doctor sent me for MRI, on MRI I can see portion of my Talus Talar Dome is missing (18 mm). My doctor told me that had small fracture when I injured my anckle. Does anyone know what type of treatment will be good for me? I am trying to obtain as much as information i could before choosing one.

Thanks,
/or

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[alophysio]

Hi

It is hard to say but i would guess surgery is your option, especially if you still have pain. It happened so long ago that this may not be an option.

Just because you have a pathology, it doesn't mean you have a problem - if you know what i mean!

If you are able to run around and still do everything, leave it.

If you are limping and can't walk, do something about it.

It is such a shame that these injuries are missed. Most doctors write off ankle sprains as just that - i once diagnosed a talar dome fracture clinically and sent the client off to the doctor. The doctor disagreed and did not send for the scan. The client just kept going (very stoic). One year later, he mentioned to the doctor that he was still in pain and got sent for a scan - a whopping big talar domw fracture was there and he had to do all sorts of rehab to get it better after surgery - just goes to show...

[wutti]

hi!!
@alophysio: seems that i follow you everywhere. i would suggest that we have the same fields of interest :-))

And i still agree with alophysio. the talus mainly consists of kind of cartilagnous bone and as a result it heals very badly when fractured. thus, necrosis happens as a result of less blood supply in this area. so surgery and a kind of reconstruction af the necrotic area might be indicated. also immobilisation seems to be necessary. but first of all check pros and cons of surgery etc. are you able to do all adls properly? what about sport/exercise? maybe you can try it first with rehab, lots of stability exercises for ankle and knee joint and strenghening of the surrounding muscles.
good luck!!

[alophysio]

Hi Wutti,

I was about to say the same thing - except i thought i was following you everywhere!

[cheryls9379]

Just wondering what kind of surgery you had to solve your problem. I am dealing with similar issues with my ankle. Is your ankle 100% now?

[Canuck Physio]

Hi

It is hard to say but i would guess surgery is your option, especially if you still have pain. It happened so long ago that this may not be an option.

Just because you have a pathology, it doesn't mean you have a problem - if you know what i mean!

If you are able to run around and still do everything, leave it.

If you are limping and can't walk, do something about it.

It is such a shame that these injuries are missed. Most doctors write off ankle sprains as just that - i once diagnosed a talar dome fracture clinically and sent the client off to the doctor. The doctor disagreed and did not send for the scan. The client just kept going (very stoic). One year later, he mentioned to the doctor that he was still in pain and got sent for a scan - a whopping big talar domw fracture was there and he had to do all sorts of rehab to get it better after surgery - just goes to show...

Whatever happened to the Hipocratic Oath?