An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). 1 ) and anterolateral (46%) talar dome ( 1 ). The adjacent subchondral bone presents an injury as well. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral The affected bone and its covering of cartilage may stay in place and cause no symptoms. Plantarflexion-inversion forces cause medial lesions. The most common sites are the posteromedial (53%) ( Fig. Osteochondral lesions of the talus (OLT) are those that affect the chondral and subchondral areas of the talus. Osteochondral Lesion Symptoms. Electronic databases from January 1966 to December 2006 were systematically screened. 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. 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. Find out what symptoms to watch for and when to seek treatment. Osteochondral fractures. Patients and methods - This study included 142 patients w … INTRODUCTION. This will create a cup-like lesion in the central to posterior aspect of the talus with more bone involved than lateral lesions. 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. These are two other names for this condition affecting both the bottom of the ankle bone (talus) and overlying cartilage. [] Although majority may be associated with trauma, some may develop insidiously. Patient symptoms with osteochondral lesions may include joint catching or clicking (which may represent a loose body), swelling, chronic pain and ankle weakness. Talus Osteochondral Lesion Definition. What is the osteochondral lesion? Symptoms. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. [] This is a broad terminology that encompasses a variety of disorders including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. We report the outcome of a nonoperative treatment for symptomatic OCL. The proportion of the patient population treated succes … Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: Pain. Osteochondritis dessicans. 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 osteochondral lesion can be defined as an area with damaged cartilage at the level of a joint. 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). 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 . The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Ther We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): 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. 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