0:00

This person presents with ankle pain after a sprain.

0:04

And here we have our three projections of the ankle,

0:08

lateral, frontal, and mortis view.

0:11

So on the lateral projection,

0:12

we're looking closely at the distal tibia

0:15

and fibula tailor dome

0:17

and ankle joint proper for tibial Taylor articulation.

0:22

We follow along the Taylor neck to the Taylor head

0:25

and see that the tail and navicular joint

0:27

relationship is maintained.

0:29

Looking at the subtalar articulation

0:32

and the area of the angle of josse, we notice that the

0:36

calcaneus is intact On our frontal projection, we're looking

0:41

for where there's fractures of the medial

0:43

or lateral malleolus areas of focal soft tissue swelling.

0:48

And then we want to check over the tibial Taylor joint.

0:52

And here it appears to be a lucency medially.

0:55

We then go to our mortis articulation

0:58

where we do a more careful inspection of the Taylor dome.

1:02

So here is the lateral gutter, the articulation

1:04

between the tailless and the distal fibula.

1:08

The tibial hon here articulating

1:12

with the Taylor head.

1:14

And then medial gutter

1:16

where we have the medial malleolus articulating

1:19

with the medial portion of the Alis.

1:21

And here we see a, a prominent,

1:23

well-defined geographic loosen lesion.

1:26

And once that's identified, we would make the diagnosis

1:29

of an osteochondral lesion.

Case: Osteochondral Lesion

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