J Korean Foot Ankle Soc.  2017 Dec;21(4):117-121. 10.14193/jkfas.2017.21.4.117.

Diagnosis and Treatment of Early Ankle Osteoarthritis

• Seo SG

• KMID: 2398007
• DOI: http://doi.org/10.14193/jkfas.2017.21.4.117

Abstract

The incidence of arthritis in the ankle is relatively low compared to other joints. On the other hand, it receives a lot of pressure per unit area, is vulnerable to damage, and arthritis can arise after trauma. Early ankle arthritis can be considered a case of osteophyte subchondral sclerosis without narrowing of the joint space. Conservative treatment, such as weight control, insole use, drug use, and injection therapy for early ankle arthritis, is effective and can be considered before surgical treatment. Nevertheless, if pain is persistent, surgical treatment to remove bony spurs is effective. Ensuring that there is no other cause of pain when deciding whether to perform an operation is very important.

Keyword

Osteoarthritis; Ankle; Osteophyte; Debridement

MeSH Terms

Ankle*
Arthritis
Debridement
Diagnosis*
Hand
Incidence
Joints
Osteoarthritis*
Osteophyte
Sclerosis

Figure

• 

  Figure 1 Simple radiographs of ankle anteroposterior (A) and lateral (B) show osteopyhte and early sclerosis.

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  Figure 2 Simple radiographs of early osteoarthritis.

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  Figure 3 Computed tomography (CT) of early ankle osteoarthritis. CT shows the medial osteophyte.

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