Osteochondritis dessicans. Plantarflexion-inversion forces cause medial lesions. What is the osteochondral lesion? This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). 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 adjacent subchondral bone presents an injury as well. 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. 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. [] Although majority may be associated with trauma, some may develop insidiously. Causes & Triggers [] This is a broad terminology that encompasses a variety of disorders including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. Patient symptoms with osteochondral lesions may include joint catching or clicking (which may represent a loose body), swelling, chronic pain and ankle weakness. The osteochondral lesion can be defined as an area with damaged cartilage at the level of a joint. Talus Osteochondral Lesion Definition. Electronic databases from January 1966 to December 2006 were systematically screened. 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). Ther We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. Find out what symptoms to watch for and when to seek treatment. Patients and methods - This study included 142 patients w … We report the outcome of a nonoperative treatment for symptomatic OCL. This will create a cup-like lesion in the central to posterior aspect of the talus with more bone involved than lateral lesions. The proportion of the patient population treated succes … The most common sites are the posteromedial (53%) ( Fig. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral Symptoms. 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 Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): Depending on the joint that's affected, signs and symptoms of osteochondritis dissecans might include: Pain. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Osteochondral fractures. 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 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. 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