Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, localized pain in the ankle region, exacerbated by weight-bearing activities. Symptoms include intermittent swelling and stiffness of the ankle and subtalar joints. No history of acute trauma. Pain is described as a deep, dull ache, unresponsive to conservative NSAID therapy.
Clinical Examination Findings
Physical examination reveals localized tenderness over the talus. Palpable fullness or mass may be present depending on cortical involvement. Range of motion (ROM) is restricted in both the tibiotalar and subtalar joints due to pain and mechanical impingement. Neurovascular status is intact distally. Gait analysis demonstrates an antalgic limp.
Treatment Protocol
Recommended management includes surgical curettage with high-speed burring and adjuvant therapy (e.g., phenol, cryotherapy, or cementation) to address the locally aggressive nature of the GCT. In cases of extensive cortical destruction or articular involvement, bone grafting or internal fixation may be required to maintain structural integrity. Post-operative immobilization and physical therapy are essential for functional recovery.