Osteochondral lesion of the distal tibial plafond in an adolescent soccer player: a case report.

Introduction Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Case Presentation A 17-year-old male competitive soccer player presented with a 6-7 month history of medial ankle pain after an inversion sprain. He presented with locking and giving way of the ankle with weight-bearing and pushing off the foot to the contralateral side. Radiographs were negative for fracture or osteochondral involvement. Magnetic resonance imaging revealed an osteochondral lesion of the tibial plafond with no injury to the talar dome. Summary This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond.