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Old 01-23-2011, 12:33 AM   #1
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ketaylor1980 HB Userketaylor1980 HB User
Question No surgery for now but OMG it hurts!

Hello everyone. I am so glad that I found this site! Here is my story so far.

I have two very weak ankles, my left ankle more so than than the right. Over the years I have sprained both of them pretty severely, and I have had a bursea sac rupture in my left. About three weeks before Christmas I was getting into my truck and I heard and felt a snap that came from my left ankle. I thought, "Great, here we go again!" The pain that came from that was so bad I felt like I needed to vomit. Once I got home and took some advil I went to bed only to wake up not being able to move my ankle. So me being me I wrapped it in an ace bandage and went on my merry way. A week later I couldn't deal with the pain any more and ended up in the ER. They tell me that I have partially ruptured my achilles tendon and I have some fractures on my heel. They couldn't tell if those were old or new. But tell me to get with an orthopedic and put me on crutches with a 45 degree splint. This was a day before vacation so guess who didn't get on that right away. And just so you know Disney World on crutches is not a magical adventure!

So after I get back from vacation which is now a week after Christmas I finnally get in to see the orthopedic. He said I have achilles tendonitis, and planter fichitis (sorry for the spelling) and he also saw a bone cyst on my fiblua. So off I go to get an MRI thinking only the worse because I had a friend of mine die of bone cancer that was found in a very simliar way. At my followup appointment I find out hat the cyst was not on the MRI but I do have a stage four osteochondral lesion in the back of my ankle. He told me that I would have to hae surgery to repair it. I am ok with that. I have an appointment with a foot and ankle specialist who will be doing the surgery.

However between the ER doctor, the orthopeic, and my own dianosis this has been a sprained ankle, tendonitis, bone cysts, and now OSL. Has anyone had a doctor tell them that they have a bone cyst that they saw on xray only to have an MRI say its really OSL?

 
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Old 01-24-2011, 05:34 AM   #2
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Re: Grade 2 osteochondral lesion/defect lateral talar dome

If you have a grade 4 lesion, then the cartilage and/or bone has totally broken away. An xray only takes a flat picture so it could have appeared like a bone spur on an xray perhaps. But, when the got to the MRI, they were able to tell better what it was. This is only a guess from me. I was never told I had a bone spur.
When is your surgery?
Sorry about Disney not being magical. My family previously went to Disney several times a year. Last year we didn't go after I fell. I am looking forward to going back this year, though.
Good luck with your journey to being healthy again! I would suggest finding the absolute BEST foot/ankle surgeon that you can.

 
Old 01-24-2011, 09:22 PM   #3
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Re: Grade 2 osteochondral lesion/defect lateral talar dome

I have an appointment in the morning with the doctor that will be doing my surgery. The OS that I had been seeing didn't feel comfortable doing it because of its location. And after my research I think it may end up having to be an open surgery becuase it is in the back of the ankle where the fibula and tibula are blocking access. I will know more in about 8 hours. i'm not looking forward to it but I'm sick of the pain.

 
Old 01-25-2011, 06:19 AM   #4
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Re: Grade 2 osteochondral lesion/defect lateral talar dome

I hope you get your questions answered today and you like the new doctor.
Keep us posted. We feel your pain. Wishing you some resolve today with a plan of action!

 
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ketaylor1980 (01-25-2011)
Old 01-25-2011, 03:07 PM   #5
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Question No surgery for now but OMG it hurts!

So I have had several sprains in my life time. My last incident was Dec 16th. I stepped into my truck and felt and heard a pop in the back of my ankle. I thought I had sprained it again, all be it in a weird way. So I wrapped it and did the typical sprain care. After about two weeks with the pain getting worse I finnally went to the ER and was told that I had partical rupture of the achilles tendon and old heel fractures. I was put in a 45 degree splint and was non weight bearing for two weeks. I made it thru vacation walking with a limp and finnally saw an OS on the 5th of Janurary. After x-rays he tells me a I have a bone cyst and I have planter fischitis (sorry for spelling) and achilles tendonitis. He gave me a heel cup and sent me for an MRI. He said that the MRI didn't show the cyst but it did show an ocsteochondral lesion in a spot of the ankle that he didn't feel comfortable treating. So today I saw a foot and ankle specialist. He tells me that I have 1cm large and 5mm deep OCD on the talus. The cartlidge is not torn but more of a "pot hole". He says because it is that big that it has been there for a while and he doesn't think it is causing me the pain that I am having. I also found out that I have tissue being pinched by bone. This he says is causing my pain. So he gave me a cortizone shot in the back left side of my ankle if looking down at it and put me in a walking boot. The shot was given this morning at 8 am now 10 hours later I have severe pain in my ankle where the shot was given. It feels like it is going to snap.

Have any of you had this feeling with a cortizone shot? Have any of you dealt with these types of issues? How could I have a OCD for that long and not know it?

 
Old 02-16-2011, 11:07 AM   #6
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Re: No surgery for now but OMG it hurts!

So I just got back from my 3rd OS and now I am scheduled for a MRI with contrast. Apparently I do have a large fragment somewhere in my 1cm OCD. The doctor isn't sure by my first MRI if it is above the OCD or below it. There are also some issues with my tendons that she noticed. So after the MRI I will have OATS not sure if it will be open or athroscopic. I may also have or instead of the OATS have my ankle fused! Just great!

 
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cortizone shots, ocd, osteochandral defect, osteochandral lesions



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