Osteochondral Injuries of the Ankle The ankle joint is an articulation of the end of the tibia and fibula (shin bones) with the talus (heel bone). Symptoms can be vague. Terminology. Overview focal injuries to the talar dome with variable involvement of the subchondral bone and cartilage resulting in osteochondral lesion of the talus (OLT) may be caused by traumatic event or result of … Foot fusion surgery is carried out to permanently join or stiffen the joint between arthritic bones. I recommend using a Pneumatic Walker as immobilization for high grade ankle sprains, inversion injuries with much pain and swelling, even when further evaluation for an osteochondral injury is not being done. Orthosports Medical Center has experienced Foot & Ankle Surgeons who specialize in diagnosis and treatment of Chondral Injuries of the Ankle. After a trauma, or spontaneously, this fragment can become mobile, causing inflammation around the lesion. Treatment may include: Pain may be felt primarily at the lateral (outside) or medi… An osteochondral fracture is a type of fracture in which the articular cartilage at the end of a joint becomes torn. An osteochondral lesion of the talar dome is an injury to the talus, which is a bone in the foot that along with the tibia forms the ankle joint. Osteochondral injuries are one of the most common causes of ankle pain. An injury that is not displaced may heal with proper immobilization. Well, that’s fairly common but should not be disregarded at all. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6.. This condition is also known as either osteochondritis dissecans (OCD) of the talus or as a talar osteochondral lesion (OCL). Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. The predominant symptom of osteochondral injury is pain, which may be localized to the ankle joint. Toe fusion surgery is usually a day case procedure that is performed, Focal chondral (joint surface cartilage) damage, Anterior cruciate ligament (ACL) injuries, Posterior cruciate ligament (PCL) injuries, Medial collateral ligament (MCL) injuries, Lateral collateral ligament (LCL) injuries, Iliotibial band (ITB) syndrome (runner’s knee), Patellar tendonitis/tendinopathy (jumper’s knee), Osteochondral injury of the ankle (talus), Rotator cuff tears (partial and full thickness), Tendonitis of the long head of the biceps, Rotator cuff tendonitis (shoulder impingement), Slipped disc (prolapsed or herniated disc). Those that fail to respond may be candidates for v… “Osteo” means bone and “chondral” refers to cartilage. They are all experts in treating sports injuries, trauma and degenerative conditions. This condition is commonly seen with traumatic injuries like acute ankle sprain; although, the ankle joint misalignment due to chronic overuse also can lead to this condition. This can be from a small tear in the top layer to an extensive tear to the bone. Registered in England and Wales under company number: 07033880, It is often caused by a traumatic injury, such as a severe ankle sprain. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. 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. When a fragment of bone detaches it causes stiffness, pain, swelling and difficulty bearing weight on the foot and ankle. Although this type of injury … Though in most cases there is a history of injury or trauma to the ankle joint, a few cases may not have any previous history of ankle injury. “Osteo” means bone and “chondral” refers to cartilage. What are Chondral Injuries? The condition occurs most commonly in the knee, but also occurs in elbows, ankles and other joints. It can cause symptoms either after an injury to a joint or after several months of activity, especially high-impact activity such as jumping and running, that affects the joint. Our knee specialists are world leaders in the treatment of knee conditions, and have particular expertise in anterior cruciate ligament (ACL) reconstruction, treatment of joint surface (chondral) damage/ osteoarthritis, meniscal surgery, osteotomies and total or partial knee replacement. It is the area which joins with the talus to form the ankle joint. This article describes the etiology and pathogenesis of these injuries. What are osteochondral injuries? A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. It is used to treat tibialis posterior tendon dysfunction and as part of flat foot reconstruction surgery. The severity of OCD … Impaired function, limited range of motion, stiffness, catching, locking an… We will respond to you within 24 hours or on the next working day. Tibialis posterior reconstruction involves using another tendon in your foot as a substitute for the damaged tibialis posterior (TP). He complains of mechanical symptoms with ankle movement that continue to be symptomatic with everyday activities. The treatment for chondral injurys ranges from conservative, to arthroscopic and open surgeries (arthroscopic debridement, marrow-stimulating techniques, autologous chondrocyte transfers and implantation, and allografts), and would depend on the patient’s, age, etiology, grade, and quality of the lesion. Symptoms of an osteochondral lesion include: Pain Swelling Ankle instability Ankle … Whatever your orthopaedic condition or sports injury, we have a team of top medical experts waiting to help. The knee and the ankle joint are the most commonly involved joints for OCLs in the lower extremity. A variety of terms have been used to refer to this clinical … Treatment may include: It often occurs after an injury such as a sprain or trauma to the foot and ankle. An osteochondral ankle defect is a lesion of the talar cartilage and subchondral bone mostly caused by a single or multiple traumatic events, leading to partial or complete detachment of the fragment. Talar dome lesions are usually caused by an injury, such as an ankle … “Osteo” means bone and “chondral” refers to cartilage. An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. These fractures are most commonly seen in the knee and ankle joints, as these joints take a lot of strain and bear a lot of weight, which can make them vulnerable to damage. Addiyar Building, 5-58b Street, Al Wasl, Sheikh Zayed Road, United Arab Emirates, © 2020 Orthosports Medical Center All rights reserved. Their clinical presentation is described and advice is given on how to diagnose and investigate suspected osteochondral injuries. There are three types of common lesion formation. 1, in a review of >580 osteochondral defects of the talus, reported that trauma was implicated as the cause in 76% of the cases. This condition is also known as either osteochondritis dissecans (OCD) of the talus or as a talar osteochondral … This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. Such lesions are a tear or fracture in the cartilage covering one of the … It is important … The articular cartilage can be damaged by even the normal wear and tear (degenerative), or by injury (i.e. Articular cartilage lesions in weight-bearing joints often fail to heal on their own and may be associated with pain, loss of function and long-term complications such as osteoarthritis. Have you experienced that locking of your ankles when you suddenly change in position? Those seconds of pain are your body’s way of telling you that something is not perfectly fine. Another entity is an osteochondritis dissecans, in which an osteochondral injury has occurred during the development of the body. The severity of the injury is best assessed using MRI. Fortius Clinic. Please contact us for advice if you’re worried about any aspect of your health or recovery. Important: This information is only a guideline to help you understand your treatment and what to expect. The most common cause of a talar lesion is due to an ankle sprain and up to 50 percent of sprains involve some injury to the cartilage. This type of injury can be due to a severe ankle sprain that causes bone and cartilage to become loose, resulting in ongoing ankle pain. Orthosports Medical Center has experienced Foot & Ankle Surgeons who specialize in diagnosis and treatment of Chondral Injuries of the Ankle.