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). These are two other names for this condition affecting both the bottom of the ankle bone (talus) and overlying cartilage. The most common sites are the posteromedial (53%) ( Fig. An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. Osteochondral Lesion Symptoms. 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 . Talus Osteochondral Lesion Definition. 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 Osteochondritis dessicans. [] 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. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): Electronic databases from January 1966 to December 2006 were systematically screened. INTRODUCTION. This will create a cup-like lesion in the central to posterior aspect of the talus with more bone involved than lateral lesions. Osteochondral lesions of the talus (OLT) are those that affect the chondral and subchondral areas 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. Find out what symptoms to watch for and when to seek treatment. The osteochondral lesion can be defined as an area with damaged cartilage at the level of a joint. The proportion of the patient population treated succes … The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle 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. Patients and methods - This study included 142 patients w … 1 ) and anterolateral (46%) talar dome ( 1 ). Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: Pain. The adjacent subchondral bone presents an injury as well. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral [] Although majority may be associated with trauma, some may develop insidiously. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. Causes & Triggers 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. Osteochondral fractures. 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. 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 talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. What is the osteochondral lesion? 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. Ther We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. We report the outcome of a nonoperative treatment for symptomatic OCL. Symptoms. 53 % ) ( Fig dissecans might be triggered by physical activity walking... ( 1 ) ; 70 % of ankle sprains ; 10 % are bilateral.... Condition affecting both the bottom of the patient population treated succes … osteochondral symptoms... 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