How is osteochondral lesion of the talus treated?
The widely published treatment strategies of symptomatic osteochondral lesions include the non-surgical treatment with rest or cast immobilization, and surgical excision of the lesion, excision and curettage, excision combined with curettage and drilling/microfracturing (i.e., bone marrow stimulation, BMS), placement …
What is osteochondral lesion of the talus?
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). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).
What causes osteochondral lesions of the talus?
Causes of Osteochondral Lesion of the Talus Osteochondral lesions are usually caused by an injury, such as an ankle sprain, which damages the cartilage and forces it to soften and slowly break off. A broken piece of cartilage may remain in the ankle, causing an osteochondral lesion to occur.
How painful is an osteochondral lesion?
A patient with an osteochondral lesion will often feel a dull ache in the joint and may also experience a mild locking or clicking of their knee or ankle joint. The affected joint may also seem to be loose.
Is an osteochondral lesion painful?
What is an osteochondral lesion of the talus?
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 presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury.
What part of the knee is affected by osteochondral lesions?
Osteochondral lesion mostly affects the knee joint, especially the lateral aspect of the medial femoral condyle (69%), the weight-bearing portion of the lateral femoral condyle (15%), and the inferomedial pole of the patella (5%) and trochlear fossa (1%) [8, 9].
What is the prognosis of osteochondral lesions of the ankle?
The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. The severity of the injury is best assessed using MRI. Low-grade lesions are managed with initial weight bearing modifications and therapeutic interventions.
What are the treatment options for non-displaced osteochondral osteochondrosis (Olt)?
Non operative treatment is commonly the primary choice of intervention in non-displaced OLT such as type I and II lesions above. Displaced intra-articular osteochondral fragments are usually immediate candidates for surgery. Some factors do lead to more favorable outcomes in conservative treatment.