Osteochondral Lesions of the Talus

Abstract

Knowledge of osteochondral lesions of the talus parallels that of similar lesions affecting the knee in many respects. Morbidity can be significant, and a variety of diagnostic and surgical techniques have been described. Although these lesions are significant for all patients, in athletic individuals they may bring about the end of their sporting careers. Fragment stability remains critical in the management of these injuries. With advances in diagnostic methods and further specialization in arthroscopy, outcomes will continue to improve.

Characterization of Lesions of the Talus and Description of Tram-Track Lesions

“…The region that displayed the most severe degeneration was the anteromedial (AM) dome, with 46% of specimens having grade 2 lesions and 7% having grade 3 lesions, but no grade 4 lesions. Lateral lesions were more frequent and severe anteriorly than posteriorly (84% versus 56%), this result corresponds to reports by Roach 18 The same trends for location and severity of lesions existed between the right and left tali, but the right tali exhibited a few more grade 3 lesions than the left ( Figure 4). Sixty-four percent of donors had the same lesion grade on both right and left talar domes.…”

“…16,18 The raw data (.img file) were converted to image data (.bmp and .tiff files) by IDL5.4 software (The Research Systems, Inc., Boulder, CO).…”

Comparison of Platelet Rich Plasma and Prolotherapy in the Management of Osteochondral Lesions of the Talus: A Retrospective Cohort Study

“…We used 4 mL of PrT solution without any activating agent for PrT intervention (2 mL 25% dextrose for intra-articular, 1.8 mL 15% dextrose in combination with 0.2 mL lidocaine for tibial edge and talar dome adjacent the joint surface). We used the same combination of PrT (25% dextrose intra-articular, 15% dextrose in combination with lidocaine as local anesthetic) as was used in most previous studies [1,16,17].…”

“…Osteochondral lesions of the talus (OLT) are a common ankle problem characterized by degeneration of cartilage, resulting in joint pain and destruction [1]. These lesions can result in pain, function loss, disability,and reduction in quality of life.…”

Osteochondritis dessicans of the talus in a 26-year-old woman

“…Osteochondritis dissecans has been reported to affect the ankle as the third most common joint, after the knee and the elbow 1. A 26-year-old housewife presented with chronic ankle pain for 3 weeks duration with intermittent swelling after exertion, without any history of trauma.…”