The diagnosis of cartilage damage (osteochondral lesion, also known as talar dome) is often done with x-rays and/or an MRI. Osteochondral lesion of the talar dome Share | Definition. A varietyof surgical techniques is available to accomplish this. The complexity of the aforementioned lesions each present their own set of obstacles and, hence, management. Table 3 lists the incidence of lesions according to fracture type and presence or absence of talar dome lesions. OLTs typically are preceded by a traumatic event and generally result in vascular damage to the subchondral bone. In these cases, lesions may be due to osteonecrosis, endocrine disorders or genetic factors. We have reviewed charts and radiographs in 13 cases of OCL in children, examined at follow-up as adults. In 2007, MRIs of 428 ankles with OLTs were studied. Surgery may involve removal of the loose bone and cartilage fragments within the joint and establishing an environment for healing. I highly recommend him , Occasional clicking feeling in the ankle when walking, Sensations of the ankle locking or giving out. The surgeon will select the best procedure based on the specific case. Particulated juvenile cartilage allograft transplantation. “Osteo” means bone and “chondral” refers to cartilage. Methods: A professional rugby league player underwent surgery for a complex injury to the ankle. Surgery is required for: • Healed fractures leaving a defect on the cartilage covering the joint surface of the bone; this causes pain and instability of the joint ... is inserted to clean the surface of damaged cartilage by grinding away the defect. A variety of surgical techniques is available to accomplish this. If nonsurgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. Surgery may involve removal of the loose bone and cartilage fragments within the joint and establishing an environment for healing. 2016 Dec;24(12):3722-3729. doi: 10.1007/s00167-014-3389-3. “Osteo” means bone and “chondral” refers to cartilage. 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 (OCL), and chronic ankle instability. Surgery may involve removal of the loose bone and cartilage fragments within the joint and establishing an environment for healing. NIH Surgery may involve removal of the loose bone and cartilage fragments within the joint and establishing an environment for healing. The top of the talus is dome-shaped and is completely covered with cartilage. A variety of surgical techniques is available to accomplish this. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Results: At surgery, 14 ankle joints had intact cartilage and 40 showed osteochondral lesions. To diagnose this injury, podiatrists should question the patient about recent or previous injuries and will examine the foot and ankle. The surgeon will select the best procedure based on the specific case. Truthfully I wouldn’t go anywhere else. Methods: A variety of surgical techniques is available to accomplish this. Main Office: If non-surgical treatment fails to relieve the symptoms of talar dome lesions, surgery may be necessary. The articulation of the talar dome and the trochlear surface (tibia and fibula) supports the weight of the body. They may also be called osteochondritis dessicans or osteochondral fractures. This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. Talar dome lesions are usually caused by an injury, such as an ankle sprain. “Osteo” means bone and “chondral” refers to cartilage. 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