Presentation Title

Ankle Degenerative Joint Disease in a 23 year old male basketball player

Advisor Information

Adam Rosen

Location

Dr. C.C. and Mabel L. Criss Library

Presentation Type

Poster

Start Date

6-3-2015 11:00 AM

End Date

6-3-2015 12:30 PM

Abstract

Background: A third-year transfer Division I basketball player (23 years old, height=200.7cm, mass=104.3kg) complained of pain in his left ankle mortise of the talocrural joint after a strength and conditioning workout in August 2014. A radiograph revealed osteophytes anteriorly, calcification posteriorly, possible loose body and os trigonum. A magnetic resonance image (MRI) of the ankle revealed tearing of the anterior talofibular ligament, a small rounded ossicle as well as osteophyte formation in the subtalar joint signifying the early stages of degenerative joint disease of the ankle. Differential Diagnosis: Anterior tibiofibular ligament tear, osteochondral lesion of the talus, avulsion fracture, os trigonum syndrome, loose bodies, chronic ankle instability Treatment: Patient first received treatments including therapeutic ultrasound, joint mobilization and ice massages. Patient also received Graston® soft tissue mobilization on the Achilles tendon to relieve stiffness. As the symptoms persisted and progressed, the physician ordered a 40mg injection of Depo-Medrol (methylprednisolone acetate) with 3cc Marcaine (bupivacaine hydrochloride) in his anteromedial ankle twice and prescribed a nonsteroidal antiinflammatory drug (Naprosyn). Uniqueness: The uniqueness of this case extends from the young age of the patient experiencing osteoarthritis. Conclusion: The ankle is one of the most frequently injured joints. Accordingly, clinicians should be concerned of degenerative joint disease of the ankle in those young athletes with history of frequent ankle sprain.

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COinS
 
Mar 6th, 11:00 AM Mar 6th, 12:30 PM

Ankle Degenerative Joint Disease in a 23 year old male basketball player

Dr. C.C. and Mabel L. Criss Library

Background: A third-year transfer Division I basketball player (23 years old, height=200.7cm, mass=104.3kg) complained of pain in his left ankle mortise of the talocrural joint after a strength and conditioning workout in August 2014. A radiograph revealed osteophytes anteriorly, calcification posteriorly, possible loose body and os trigonum. A magnetic resonance image (MRI) of the ankle revealed tearing of the anterior talofibular ligament, a small rounded ossicle as well as osteophyte formation in the subtalar joint signifying the early stages of degenerative joint disease of the ankle. Differential Diagnosis: Anterior tibiofibular ligament tear, osteochondral lesion of the talus, avulsion fracture, os trigonum syndrome, loose bodies, chronic ankle instability Treatment: Patient first received treatments including therapeutic ultrasound, joint mobilization and ice massages. Patient also received Graston® soft tissue mobilization on the Achilles tendon to relieve stiffness. As the symptoms persisted and progressed, the physician ordered a 40mg injection of Depo-Medrol (methylprednisolone acetate) with 3cc Marcaine (bupivacaine hydrochloride) in his anteromedial ankle twice and prescribed a nonsteroidal antiinflammatory drug (Naprosyn). Uniqueness: The uniqueness of this case extends from the young age of the patient experiencing osteoarthritis. Conclusion: The ankle is one of the most frequently injured joints. Accordingly, clinicians should be concerned of degenerative joint disease of the ankle in those young athletes with history of frequent ankle sprain.