Symptoms related to this condition are nonspecific … Plain x-rays can be used to help diagnose an osteochondral lesion although it is not uncommon for the plain x-rays to be read as normal. 1) … Large uncontained lesions are usually painful as the structure of the talus is threatened. Articular cartilage has … Which treatment do you need?Shoulder TreatmentKnee TreatmentBack TreatmentElbow TreatmentFoot TreatmentOthers, Preferred LocationGleneagles Medical CentreMt Alvernia Medical CentreMount Elizabeth Novena. … 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. For those with persistent pain, surgical treatment is offered. Some smaller cystic lesions are incidental findings, remain stable and quiescent and do not require treatment, but should be monitored with serial radiology [ 14 ]. Research studies show OCD lesion in the talus … This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. A cutoff point … 2 pm to 5 pm Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. Talar dome lesions … When planning the treatment of osteochondral lesions of the talus, it is important to evaluate the articular cartilage to distinguish between stable and unstable lesions (1,2). “Osteo” means bone and “chondral” refers to cartilage. The patient's osteochondral defect in the posterolateral aspect of the talus was identified. #06-59/60/61 Mount Elizabeth Most authors believe that trauma has an integral role in the pathogenesis of most OLTs and that OLTs most likely represent the chronic phase of a compressed talar dome fracture. Those that fail to respond may be candidates for v… Sometimes a broken piece of the damaged cartilage and bone will float in the ankle. Their findings support the notion that the most common osteochondral lesions are not the traditionally described anterolateral and posteromedial lesions, but rather central medial and central lateral lesions. Osteochondritis dissecans of the dome of the talus. Furthermore, it is hard to figure out why some … It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). With an MRI, the ligament structures, tendons and cartilage of the ankle can be examined and analyzed. Osteochondral lesion of the talus (OLT) is a common condition associated with ankle injury that brings challenges in the diagnosis and treatment. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Symptoms. Osteochondral lesions of the talus are commonly associated with a traumatic injury to the ankle joint. Much of this bone is covered with cartilage. 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). The first is a posterior medial lesion … Osteochondral lesions happen more frequently in the younger athletic population Diagnosing Osteochondral Lesion of the Talus. Terminology. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Two common lesions are notable on the talus. Novena Specialist Centre, May be due to micro trauma or a traumatic event. 9 am to 1 pm 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 … If you are experiencing one or more of the symptoms mentioned above, it is important to get a prompt and accurate diagnosis to determine the severity of your injury and get proper treatment immediately. Please enable javascript in your browser in order to get form work properly. Often an MRI or other advanced imaging tests are ordered to further evaluate the lesion and extent of the injury. In most cases, the condition is associated with chronic ankle pain, especially after inversion injury to the lateral ligamentous complex. Ankle pain and swelling, and continued subjective instability: 1 an environment for healing walking up stairs, a. 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