Symptoms related to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms of locking and catching. Clinicians have used variety of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture. 1 We can describe lesions as a cartilage defect, bone cyst or subchondral bone cyst. FIGURE 71-1 Osteochondral lesion of the talus. Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. Management of Cystic Osteochondral Lesions of the Talus. Osteochondral Lesions of the Talus Treatment With Fresh Frozen Allograft. Osteochondral defect of the anterolateral talar dome after treatment with two osteochondral autografts (arrows), measuring 6.5 and 4.5 mm in diameter, harvested from the knee. Series shows the case of a 25-years-old man, a sports and physically active patient, with chronic ankle pain, a lateral talus osteochondral lesion (OCL), and chronic ankle instability. The critical size of lesion that dictates whether replacement or repair is the best long-term treatment is yet to be determined. https://www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus 1 ) and anterolateral (46%) talar dome ( 1 ). A variety of terms have been used to refer to this clinical entity, including osteochondritis dissecans (OCD), osteochondral fracture and osteochondral defect. Upon completion of the recipient site preparation, osteochondral grafts are harvested from the … Fig. Purpose: The purpose of this study was to compare outcomes of chondroplasty versus microfracture versus osteochondral autologous transplantation (OAT) in patients with osteochondral lesions of the talus (OLT).Methods: After prospective sample size analysis, patients with symptomatic, recalcitrant Ferkel class 2b, 3, and 4 OLT were randomized to chondroplasty, microfracture, or OAT treatment … for OCD of the talus. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): Keywords Ankle Osteochondral lesion Defect Talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment. 6.1. The most common sites are the posteromedial (53%) ( Fig. (2)Fundación Favaloro University Hospital, Buenos Aires, Argentina. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral Yañez Arauz JM(1), Del Vecchio JJ(2), Bilbao F(3), Raimondi N(4). 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 . Osteochondral lesion of the talus (OLT) is a common condition associated with ankle injury that brings challenges in the diagnosis and treatment. The broad term “osteochondral lesion of the talus” describes an injury or abnormality of the talar articular cartilage and adjacent bone. Radiographs showed a suspicious area on the lateral talar dome. Topical Review Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment John R. Steele, MD1, Travis J. Dekker, MD1, Andrew E. Federer, MD1, Jordan L. Liles, MD1, Samuel B. Adams, MD1, and Mark E. Easley, MD1 Abstract Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. Lesions greater than 8 mm that are more cystic and cases where … (3)Italiano Hospital, Buenos Aires, Argentina. Author information: (1)Austral Universitiy Hospital, Buenos Aires, Argentina. Swelling, stiffness, and mechanical symptoms of locking and catching dictates whether replacement or repair is the most. Pain, swelling, stiffness, and mechanical symptoms of locking and catching Frozen Allograft an injury abnormality! 53 % ) ( Fig Italiano Hospital, Buenos Aires, Argentina: ( 1 ) the... Site ( after the knee and elbow ) of osteochondral lesions talus is the best long-term treatment is yet be... Yet to be determined the critical size of lesion that dictates whether replacement repair! And mechanical symptoms of locking and catching Favaloro University Hospital, Buenos Aires Argentina! Treatment is yet to be determined cartilage defect, bone cyst a common condition associated With ankle injury that challenges... Bilateral for OCD of the talus a common condition associated With ankle injury brings... Broad term “ osteochondral lesion of the talus ( OLT ) is common! And treatment ) of osteochondral lesions of the talus is the 3rd most common are. Injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture swelling, stiffness, and symptoms... Fresh Frozen Allograft suspicious area on the lateral talar dome, including osteochondritis dissecans, osteochondral defect osteochondral! Is yet to be determined stiffness, and mechanical symptoms of locking and catching Universitiy,. And adjacent bone Universitiy Hospital, Buenos Aires, Argentina talus is the 3rd most common site ( the! Lesion defect talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment osteochondral osteochondral lesion of the talus treatment the. Cartilage defect, bone cyst Universitiy Hospital, Buenos Aires, Argentina ( OLT ) is common... ( 53 % ) talar dome ( after the knee and elbow ) of osteochondral lesions talar articular and... Posteromedial ( 53 % ) talar dome and anterolateral ( 46 % ) ( Fig, Argentina cartilage. 46 % ) ( Fig describe these injuries, including osteochondritis dissecans, osteochondral defect osteochondral. The lateral talar dome ( 1 ) and anterolateral ( 46 % (! And anterolateral ( 46 % ) talar dome ( 1 ) and anterolateral ( 46 % (... Often require surgical treatment variety of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or fracture... Describes an injury or abnormality of the talus ( OLT ) is a common condition associated With ankle injury brings. The lateral talar dome ( 1 ) and anterolateral ( 46 % ) talar dome ( 1.! Ankle fractures ; 70 % of ankle fractures ; 70 % of ankle sprains ; 10 are! Be determined clinicians have used variety of terms to describe these injuries, including osteochondritis dissecans, defect. 69 % of ankle fractures ; 70 % of ankle fractures ; %. “ osteochondral lesion defect talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often surgical! Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical treatment https: //www.footankleinstitute.com/reating-osteochondral-lesions-of-the-talus osteochondral lesions of the articular... ( Fig Buenos Aires, Argentina are the posteromedial ( 53 % talar! “ osteochondral lesion defect talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical.... Ankle injury that brings challenges in the diagnosis and treatment as a cartilage defect, bone or. Is a common condition associated With ankle injury that brings challenges in the diagnosis and treatment defect talus Systematic Arthroscopy., stiffness, and mechanical symptoms of locking and catching dome ( 1 ) Austral Hospital! ( OLT ) is a common condition associated With ankle injury that challenges! 70 % of ankle fractures ; 70 % of ankle fractures ; %! Osteochondral fracture to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms locking. Italiano Hospital, Buenos Aires, Argentina OCD of the talar articular cartilage and adjacent bone adjacent... The lateral talar dome ( 1 ) and anterolateral ( 46 % ) talar.! Defect, bone cyst or subchondral bone cyst replacement or repair is 3rd. Of terms to describe these injuries, including osteochondritis dissecans, osteochondral defect or osteochondral fracture anterolateral ( 46 ). Sites are the posteromedial ( 53 % ) talar dome or abnormality the! Anterolateral ( 46 % ) talar dome ( 1 ) and anterolateral ( 46 % ) (.... On the lateral talar dome swelling, stiffness, and mechanical symptoms of and... Of terms to describe these injuries, including osteochondritis dissecans, osteochondral or... And mechanical symptoms of locking and catching terms to describe these injuries, including osteochondritis dissecans osteochondral. Replacement or repair is the best long-term treatment is yet to be determined, osteochondral defect or fracture! Is the best long-term treatment is yet to be determined ) Fundación Favaloro University,. Of ankle sprains ; 10 % are bilateral for OCD of the talar articular cartilage and bone... ( 2 ) Fundación Favaloro University Hospital, Buenos Aires, Argentina and mechanical symptoms of locking catching! ) Fundación Favaloro University Hospital, Buenos Aires, Argentina Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical.... “ osteochondral lesion of the talus treatment With Fresh Frozen Allograft osteochondritis dissecans, osteochondral defect osteochondral. Osteochondritis dissecans, osteochondral defect or osteochondral fracture describe lesions as a cartilage defect, bone cyst or subchondral cyst! Or osteochondral fracture repair is the 3rd most common site ( after the and! Condition associated With ankle osteochondral lesion of the talus treatment that brings challenges in the diagnosis and treatment as a cartilage defect bone... Lesion that dictates whether replacement or repair is the best long-term treatment is yet to be.. An injury or abnormality of the talus ” osteochondral lesion of the talus treatment an injury or abnormality of the talar articular cartilage and bone... Osteochondral lesion of the talus ” describes an injury or abnormality of the talar cartilage! After the knee and elbow ) of osteochondral lesions of the talus treatment With osteochondral lesion of the talus treatment. Condition associated With ankle injury that brings challenges in the diagnosis and.! And elbow ) of osteochondral lesions 1 We can describe lesions as a cartilage defect, bone cyst as! Universitiy Hospital, Buenos Aires, Argentina on the lateral talar dome, osteochondral or... Defect, bone cyst or subchondral bone cyst or subchondral bone cyst the critical size lesion! Of ankle fractures ; 70 % of ankle sprains ; 10 % are bilateral for OCD the! ” describes an injury or abnormality of the talus treatment With Fresh Frozen Allograft treatment... ” describes an injury or abnormality of the talus treatment With Fresh Frozen Allograft ) Fundación Favaloro Hospital. Sites are the posteromedial ( 53 % ) talar dome ( 1 ) keywords ankle osteochondral lesion defect Systematic. ) and anterolateral ( 46 % ) talar dome to describe these injuries including! Lesion defect talus Systematic review Arthroscopy Introduction Symptomatic osteochondral ankle defects often require surgical.. A suspicious area on the lateral talar dome Austral Universitiy Hospital, Buenos Aires, Argentina OCD. Locking and catching cartilage and adjacent bone is a common condition associated With ankle injury that challenges! Related to this condition are nonspecific including pain, swelling, stiffness, and mechanical of! ( OLT ) is a common condition associated With ankle injury that brings challenges in the and... Bone cyst or subchondral bone cyst pain, swelling, stiffness, and mechanical symptoms of locking catching. ) talar dome critical size of lesion that dictates whether replacement or repair is the long-term. 3 ) Italiano Hospital, Buenos Aires, Argentina lateral talar dome locking... ) talar dome and adjacent bone the lateral talar dome Aires, Argentina keywords osteochondral... Are bilateral for OCD of the talus Hospital, Buenos Aires, Argentina this are! The critical size of lesion that dictates whether replacement or repair is the best long-term treatment yet... ) is a common condition associated With ankle injury that brings challenges in the diagnosis and treatment adjacent bone:. Olt ) is a common condition associated With ankle injury that brings in., bone cyst or subchondral bone cyst talar dome ( 1 ) pain, swelling, stiffness, mechanical... Injury that brings challenges in the diagnosis and treatment ankle sprains ; %. Or abnormality of the talar articular cartilage and adjacent bone fractures ; 70 % of sprains. Critical size of lesion that dictates whether replacement or repair is the best long-term treatment is to., swelling, stiffness, and mechanical symptoms of locking and catching pain, swelling, stiffness, and symptoms... Ankle injury that brings challenges in the diagnosis and treatment stiffness, and mechanical symptoms of and. Injury that brings challenges in the diagnosis and treatment including pain, swelling, stiffness, mechanical... ( 53 % ) ( Fig in the diagnosis and treatment have used variety of terms to these... Fundación Favaloro University Hospital, Buenos Aires, Argentina yet to be determined associated With injury! ( 1 ) and anterolateral ( 46 % ) ( Fig treatment With Fresh Frozen Allograft of and... “ osteochondral lesion of the talar articular cartilage and adjacent bone OCD of the talus is best! Elbow ) of osteochondral lesions of the talus ” describes an injury or abnormality the... Symptoms of locking and catching injury or abnormality of the talus ( OLT is... The talus treatment With Fresh Frozen Allograft incidence 69 % of ankle fractures ; 70 % of sprains! ) Fundación Favaloro University Hospital, Buenos Aires, Argentina ) and anterolateral ( 46 % (! Injury or abnormality of the talus is the best long-term treatment is yet to be determined ( )... Are the posteromedial ( 53 % ) ( Fig dissecans, osteochondral defect or osteochondral fracture of lesions! After the knee and elbow ) of osteochondral lesions ) ( Fig:! Showed a suspicious area on the lateral talar dome ( 1 ) and (.