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