Please explain my ankle MRI report.

Question

Hi doctor,

I am a 38-year-old male. I have had ankle pain for the last nine months. But I have no problem walking. My ankle X-ray is fine.

The MRI report summary is as follows:

Subchondral cystic changes were seen in the medial and lateral aspects of the talar dome with adjacent marrow edema and overlying hyperintensity and irregularity. It is suggestive of a stage II A osteochondral injury of the talus.
No evident separation of the osteochondral fragment or loose body formation.
Mild ankle joint effusion.
No evidence of ligament sprain or tendon tear.

Please explain.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

You have some bone edema and an osteochondral fragment. If you just take normal painkillers, then it will take three to four months for your pain to reduce. So, you require a special injection called Zoledronic acid, which is usually used for osteoporosis. It has an additional effect of reducing bone edema very quickly.

Also, you require additional medicines orally to reform the cartilage of the bone. Consult your specialist doctor, discuss with him or her, and get the medicines with consent. Also, wear an ankle stirrup to support the ankle.

I hope this helps you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

It will take three to four months for the effect of the injection to come. Also, you need to wear the ankle stirrup brace all the time. If you are not getting better with this injection in six months, then you will need surgery.

I hope this helps you.

Thank you.