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 …

What is osteochondral defect of talus?

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). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).

What causes osteochondral lesions of the talus?

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.

How do you heal a talus bone?

Treatment. Immediate first aid treatment for a talus fracture, as with any painful ankle injury, is to apply a well-padded splint around the back of the foot and leg to immobilize and protect the limb. The splint should extend from the toe to the upper calf.

How do you get rid of talus pain?

Nonsurgical Treatment Approaches

1. Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus.
2. Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
3. Physical therapy.
4. Ankle brace.

Why do injuries to the talus take a long time to heal?

Open fractures often involve greater injury to the surrounding muscles, tendons, and ligaments. In addition, open fractures expose the fracture site to the environment, allowing debris from the outside to penetrate the wound. For this reason, they have a higher risk of infection and often take a longer time to heal.

Do osteochondral lesions get worse?

As this condition progresses, symptoms may worsen, especially if there is loose pieces of cartilage or bone within the ankle. Left untreated, osteochondral lesions may cause chronic pain and swelling, and may eventually limit the motion of the joint.

How bad is a fractured talus?

Because the talus is important for ankle movement, a fracture often results in substantial loss of motion and function. A talus fracture that does not heal properly can lead to complications, including a limp, arthritis, and chronic pain. For this reason, most talus fractures require surgery.

What happens if you break your talus bone?

How to diagnose osteochondral lesions of the talus?

Osteochondral Lesions of the Talus are focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage which may be caused by a traumatic event or repetitive microtrauma. Diagnosis can be made with plain ankle radiographs.

What is the percentage of osteochondral lesion ( Olt )?

Osteochondral lesion of talus (OLT): • Only 0.09% of all fractures and 1% of all talus fractures – Traumatic etiology – Commonly: ankle sprain • Inversion injury • 6.5 per 100 ankle sprains Bosien et al. 1955 – Older age group: • 2 nd through 4 th decade • Average age 25 years – More on lateral side – More prone to develop OA

What causes osteochondritis of the distal humerus?

In the distal humerus, more often the inciting pathology is ischemia of the subchondral bone causing osteonecrosis, a condition known as osteochondritis dissecans. Most patients with chondral injuries to the elbow recover with rest, but surgery may be needed if there are loose bodies or unstable cartilage flaps.

When to use joint replacement for osteochondral defect?

This is essential in determining management. Treatment depends on the location and size of the defect as well as the presence of secondary degenerative changes. When the latter is present, then joint replacement is often the only feasible treatment. At earlier stages (stage 1 to 4), a number of options exist including: 1.