Patient: I was last year in March after the afternoon over the leap guard to play basketball, the evening after drinking alcohol felt a little pain in the right ankle, but not swollen, after the film did not find a fracture, the doctor prescribed some medicine to eat on the pain, but later walking once not normal foot drop, the right ankle inside the tearing pain, walking in the right ankle is not good, the ankle, the heel both sides of the foot in the soreness, the case occurred three times, take medicine, This has happened three times, with medication and topical medication not working well, and I also had trouble walking when I stood or sat for a long time. In November last year, I had a nuclear magnetic examination, and three doctors told me about three different conditions. According to their treatment program, all do not see obvious results. Laboratory and examination results: 1, right talus abnormal signal, consider bone marrow edema. 2, right lateral ankle effusion. 3, right ankle joint degeneration. In January this year in Nanjing Military Region General Hospital, suspected ischemic necrosis of the talus, not diagnosed. Beijing Guang’anmen Hospital Traditional Chinese Medicine Orthopedics Yin Yong: According to your description of the situation, and examination results analysis. It should be the talus cartilage injury formed after the tibiotalar joint impact when the foot is in the inversion or eversion position, also known as talus exfoliation osteochondritis dissecans, which is a more common disease in foot and ankle surgery. The good thing is that the time of injury is less than one year, and your age is relatively young, you should be able to recover. But I don’t know your weight? Conservative treatment for this disease: firstly, you need to reduce weight-bearing and activities, and if necessary, you need to be immobilized in a plaster cast and braked. Secondly, you can use some non-steroidal anti-inflammatory and pain-relieving drugs, or traditional Chinese medicines to activate blood circulation and remove blood stasis, and also some cartilage matrix drugs like Vibramycin or Glucophage. However, if the pain or ankle function is still limited after regular conservative treatment, it is better to consider surgical treatment. Surgical treatment can first choose minimally invasive ankle arthroscopy, under the mirror for some small diameter cartilage damage to deal with, if the arthroscopy shows that the cartilage damage is larger in diameter, it is necessary to incise to do “mosaic” cartilage transplantation from the knee joint and other parts of the whole layer of cartilage and subchondral bone for transplantation, the long-term effect of this kind of operation is still good. The long-term results of this procedure are good.