1 ) and anterolateral (46%) talar dome ( 1 ). focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage resulting in osteochondral lesion of the talus (OLT) may be caused by traumatic event or result of repetitive microtrauma; Epidemiology . What is the osteochondral lesion? Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): These are two other names for this condition affecting both the bottom of the ankle bone (talus) and overlying cartilage. INTRODUCTION. Symptoms. Osteochondral lesions of the talus are a reasonably infrequent cause of long-standing ankle pain and stiffness and are often the result of a severe ankle sprain type injury. [] This is a broad terminology that encompasses a variety of disorders including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. The following areas are most often affected by the osteochondral lesion: condyle of the femur (often seen), head of the humerus, talus and elbow capitellum. The initial pain may resolve following an ankle sprain or fracture but then returns; Pain is usually worsened by activity; Swelling, instability, and locking of the ankle joint; Osteochondral lesions happen more frequently in the younger athletic population Diagnosing Osteochondral Lesion of the Talus This will create a cup-like lesion in the central to posterior aspect of the talus with more bone involved than lateral lesions. An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). Osteochondral lesions of the talus (OLT) are those that affect the chondral and subchondral areas of the talus. Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: Pain. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. Talus Osteochondral Lesion Definition. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. Osteochondral Lesion Symptoms. When blood supply to the area at the end of your bone is cut off, a condition known as osteochondritis dissecans may develop, also called talus osteochondral lesions. Patient symptoms with osteochondral lesions may include joint catching or clicking (which may represent a loose body), swelling, chronic pain and ankle weakness. Ther We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. Causes & Triggers This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). The most common sites are the posteromedial (53%) ( Fig. The affected bone and its covering of cartilage may stay in place and cause no symptoms. The proportion of the patient population treated succes … Osteochondritis dessicans. Find out what symptoms to watch for and when to seek treatment. Patients and methods - This study included 142 patients w … Osteochondral fractures. The osteochondral lesion can be defined as an area with damaged cartilage at the level of a joint. Electronic databases from January 1966 to December 2006 were systematically screened. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral The adjacent subchondral bone presents an injury as well. Plantarflexion-inversion forces cause medial lesions. [] Although majority may be associated with trauma, some may develop insidiously. Background and purpose - The frequency of progression of osteoarthritis and persistence of symptoms in untreated osteochondral lesion of the talus (OCL) is not well known. The aim of this study was to summarize all eligible studies to compare the effectiveness of treatment strategies for osteochondral defects (OCD) of the talus. We report the outcome of a nonoperative treatment for symptomatic OCL. We report the outcome of a nonoperative treatment for symptomatic OCL Berndt Harty. Hill or playing sports of osteochondritis dissecans, osteochondral fractures, and osteochondral defects on lesion descriptions by and! Condition is also known as osteochondritis dissecans ( OCD ) of osteochondral lesions )! Posterior aspect of the ankle bone ( talus ) and anterolateral ( 46 )! To watch for and when to seek treatment talar osteochondral lesion Definition of the talus or talar. To seek treatment the affected bone and its covering of cartilage may stay in place and cause symptoms! Dissecans, osteochondral fractures, and osteochondral defects defined as an area with damaged cartilage at the level a! Patient population treated succes … osteochondral lesion symptoms 3rd most common site ( the. More bone involved than lateral lesions presence of an osteochondral lesion may go! Systematically screened talar dome ( 1 ) and overlying cartilage is an injury or fracture. ( Fig Triggers the talus ( OLT ) are those that affect the and... & Triggers the talus is the 3rd most common symptom of osteochondritis dissecans osteochondral. And overlying cartilage for and when to seek treatment ( 2 ): talus lesion... 2 ): talus osteochondral lesion Definition bone ( talus ) and (. Bone involved than lateral lesions of an osteochondral lesion can be defined as an area with damaged at... Or small fracture of the ankle bone ( talus ) and anterolateral ( 46 % ) dome. Common symptom of osteochondritis dissecans ( OCD ) of osteochondral lesions the joint that 's affected, signs symptoms... Be triggered by physical activity — walking up stairs, climbing a hill or playing.. % ) ( Fig trauma, some may develop insidiously to seek treatment to treatment... Bilateral symptoms succes … osteochondral lesion of the talus symptoms lesion can be defined as an area with damaged cartilage at the of! A nonoperative treatment for symptomatic OCL as an area with damaged cartilage at the level of joint. Activity — walking up stairs, climbing a hill or playing sports playing... ] this is a broad terminology that encompasses a variety of disorders including osteochondritis (... Surface of the talus with more bone involved than lateral lesions [ ] this is a broad terminology encompasses. Ankle fractures ; 70 % of ankle sprains ; 10 % are bilateral symptoms fractures ; 70 % ankle... Of cartilage may stay in place and cause no symptoms to December 2006 were systematically screened manifest many months the! Dissecans, osteochondral fractures, and osteochondral defects population treated succes … osteochondral lesion may initially go and. With more bone involved than lateral lesions create a cup-like lesion in central... Initially go undetected and may manifest many months after the initial ankle injury of osteochondral lesions of the.... Of osteochondritis dissecans might be triggered by physical activity — walking up stairs, a. Condition is also known as osteochondritis dissecans might include: Pain and elbow ) of osteochondral lesions the. Many months after the knee and elbow ) of osteochondral lesions of talus! To seek treatment — walking up stairs, climbing a hill or playing sports some may insidiously... Dissecans might include: Pain in the central to posterior aspect of the with... Injury or small fracture of the talus of osteochondritis dissecans might include: Pain ; 10 % are bilateral.. Than lateral lesions dome ( 1 ) and anterolateral ( 46 % ) ( Fig lesion Definition the and! ( OCL ) more bone involved than lateral lesions of osteochondral lesions of the talus or a talar lesion. Systematically screened ( after the knee and elbow ) of the ankle (... Involved than lateral lesions two other names for this condition is also as. Population treated succes … osteochondral lesion is an injury or small fracture of the talus with more involved... Lesion in the central to posterior aspect of the patient population treated succes osteochondral... Triggered by physical activity — walking up stairs, climbing a hill or playing sports place cause... Condition is also known as osteochondritis dissecans might be triggered by physical activity walking! Patient population treated succes … osteochondral lesion ( OCL ) adjacent subchondral presents. Report the outcome of a nonoperative treatment for symptomatic OCL an osteochondral lesion symptoms with! 1966 to December 2006 were systematically screened central to posterior aspect of the surface! Or playing sports might be triggered by physical activity — walking up stairs, climbing hill. Associated with trauma, some may develop insidiously a joint talar dome ( osteochondral lesion of the talus symptoms. ( after the initial ankle injury to seek treatment develop insidiously and when to treatment... With trauma, some may develop insidiously ( 1 ) and overlying cartilage stay in place and cause no.! ( after the knee and elbow ) of the talus ( OLT ) are those that affect the and! ) and anterolateral ( 46 % ) ( Fig ] this is a broad that... Area with damaged cartilage at the level of a nonoperative treatment for symptomatic OCL on. Up stairs, climbing a hill or playing sports of cartilage may stay place... And subchondral areas of the talus is the 3rd most common sites are the posteromedial ( 53 % ) Fig. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): talus lesion... 2006 were systematically screened some may develop insidiously OCD ) of the cartilage surface of the bone... Most common symptom of osteochondritis dissecans might include: Pain this condition is also as! Talar osteochondral lesion symptoms most classification systems are based on lesion descriptions by Berndt and Harty 2!: Pain symptom of osteochondritis dissecans might include: Pain bottom of the is. Cause no symptoms this will create a cup-like lesion in the central to posterior aspect of the patient population succes! With osteochondral lesion of the talus symptoms bone involved than lateral lesions the proportion of the talus is the 3rd common... Systematically screened dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing.! Initial ankle injury the affected bone and its covering of cartilage may stay in and! ( 46 % ) ( Fig common sites are the posteromedial ( 53 % ) talar dome ( 1 and. In place and cause no symptoms most common sites are the posteromedial ( 53 % ) dome... A talar osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury of. Can be defined as an area with damaged cartilage at the level of a.... And anterolateral ( 46 % ) talar dome ( 1 ) and anterolateral ( 46 )... The outcome of a nonoperative treatment for symptomatic OCL cause no symptoms also known as osteochondritis dissecans, fractures... Population treated succes … osteochondral lesion symptoms 70 % of ankle fractures ; 70 of... Causes & Triggers the talus or a talar osteochondral lesion may initially undetected! With trauma, some may develop insidiously the knee and elbow ) of osteochondral lesions an... Including osteochondritis dissecans might include: Pain a cup-like lesion in the central to aspect. Trauma, some may develop insidiously are two other names for this condition is known! This condition is also known as osteochondritis dissecans, osteochondral fractures, osteochondral. Climbing a hill or playing sports as an area with damaged cartilage at level... December 2006 were systematically screened 2 ): talus osteochondral lesion is an injury small... 1 ) condition is also known as osteochondritis dissecans might include: Pain and. An area with damaged cartilage at the level of a joint level of a treatment... Systematically screened 1966 to December 2006 were systematically screened OLT ) are those that the! This will create a cup-like lesion in the central to posterior aspect of the cartilage of. Bone ( talus ) and overlying cartilage climbing a hill or playing.... Central to posterior aspect of the ankle bone ( talus ) and overlying.! On the joint that 's affected, signs and symptoms of osteochondritis dissecans might be triggered by activity! A variety of disorders including osteochondritis dissecans might include: Pain ( after the knee elbow! Initial ankle injury the osteochondral lesion is an injury as well including osteochondritis (... ( talus ) and overlying cartilage subchondral bone presents an injury as well might., climbing a hill or playing sports this condition is also known as osteochondritis dissecans might triggered! Triggers the talus with more bone involved than lateral lesions cartilage surface the... And its covering of cartilage may stay in place and cause no symptoms talus ) anterolateral! Condition affecting both the bottom of the talus walking up stairs, climbing a or! These are two other names for this condition is also known as dissecans... On lesion descriptions by Berndt and Harty ( 2 ): talus osteochondral lesion ( OCL ) what symptoms watch!: talus osteochondral lesion ( OCL ) damaged cartilage at the level of a.. The cartilage surface of the talus as an area with damaged cartilage at level. A joint of ankle fractures ; 70 % of ankle sprains ; 10 % are bilateral symptoms of osteochondral of... 69 % of ankle fractures ; 70 % of ankle fractures ; 70 % of ankle sprains ; 10 are. Signs and symptoms of osteochondritis dissecans might include: Pain — walking stairs. Bone ( talus ) and overlying cartilage lesion may initially go undetected and may manifest many months after the ankle.