What is talar dome osteochondral defect?
A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). “Osteo” means bone and “chondral” refers to cartilage.
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 …
How do you fix osteochondral defect?
The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision combined with curettage and microfracturing, filling of the defect with autogenous cancellous …
How long does it take for an osteochondral defect to heal?
It usually takes about eight weeks of light rehab to let the osteochondral defect heal before more rigorous stretching and strengthening exercises can begin. Physical therapy generally helps return healthy young athletes to sports at full strength.
What is a osteochondral defect?
An osteochondral defect refers to a focal area of damage that involves both the cartilage and a piece of underlying bone. These can occur from an acute traumatic injury to the knee or an underlying disorder of the bone.
Do osteochondral defects heal?
Most osteochondral talar defects are caused by trauma. They may heal and remain asymptomatic or progress to subchondral cysts with deep ankle pain on weight bearing.
Is osteochondral lesion serious?
In summary. 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.
Do talar dome lesions heal?
How serious is osteochondral defect?
When osteochondral defects are present, they can range in their severity: Slight pain caused by damaged cartilage. Moderate movement problems and pain caused by fragments of bone and cartilage. Total loss of cartilage, leaves bones grinding together and often severe pain.
What causes an osteochondral defect?
Causes and Risk Factors Usually, an osteochondral lesion occurs when there is an injury to the joint, especially if there is an ankle sprain or if the knee is badly twisted. Individuals who play sports such as soccer, football, rugby and golf may be at risk of an osteochondral lesion.
Is a talar dome lesion a fracture?
Talar dome injuries such as osteochondral lesions of the talus (OLT) can occur following an ankle injury, resulting in ongoing residual ankle pain and functional disability. Initially, OLT was described and classified as ‘transchondral fractures of the talus’ by Berndt and Harty in 1959(1).
Is osteochondral defect painful?
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.