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Non-surgical treatment is appropriate for certain lesions and usually involves immobilization and restricted weightbearing. 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). ... surgery may be necessary. The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. Over time, swelling may persist and the pain may become more of a generalized aching. Most lateral lesions of the talus are associated with trauma, whereas medial lesions may have a familial history and may be bilateral. With this type of injury, a section of the talus surface may impact another part of the ankle joint (tibia or fibula) and injure the talus. The risk for ankle OCD for age group, sex, and ethnicity was assessed using multivariate logistic regression models. [ 46 ] Unless the injury is extensive, it may take months, a year or even longer for symptoms to develop. However, in early stages, the cartilage layer is intact⦠Tab will move on to the next part of the site rather than go through menu items. OCD is a type of osteochondrosis in which a lesion has formed within the cartilage layer itself, giving rise to secondary inflammation. X-ray: Medial OCD Additional investigation (CT/MRI): [Picture 1, 2 + 3] CT/MRI: medial OCD 10x10x6 mm. Osteochondral lesions (OCLs) are focal articular injuries of the subchondral bone and the cartilage with a multifaceted cause (trauma, ligament instability, ischemic necrosis, malalignment, endocrine diseases, and others). They may also be found in the talus bone in the ankle. This seems odd to me because CPT assistant says "Clinical Example (28446) The patient has a symptomatic osteochondritis dissecans lesion of the talus, and the usual arthroscopic or open debridement and drilling have failed." Symptoms can be vague. Phase I - Post-operative Period (Weeks 0-1) â¢NON-weightbearing. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. for professional medical advice, diagnoses or treatments. incidence. A variety of terms have been used to refer to this clinical entity, including osteochondritis dissecans (OCD), osteochondral fracture and osteochondra … More involved procedures that include bone grafting or cartilage transfer may require a longer period of recovery. Today, we explain what causes the condition, and what can be done to treat it. It most commonly affects the shoulder joint but the elbow, hip, or knee (stifle) may also be involved. See the main osteochondritis dissecans article for a general discussion on this condition, which mostly affects the knees. Often, there may be several treatment options. OLT can be caused by any twisting-type injury to the ankle if it is severe enough. These injuries may include softening of the cartilage layers, cyst-like lesions within the bone below the cartilage, or fracture of the cartilage and bone layers. Etiology: Treatment: Management is similar to OCD lesions of the knee and ankle. â¢Splint immobilization. A normal, healthy ankle joint is made up of smooth cartilage supported by strong bone underneath. Keywords Ankle .Children .MRI .OCD .OLT .Osteochondritisdissecans .Osteochondrallesion .Talar dome Introduction Osteochondritis dissecans (OCD) presents as a spectrum of disease that can ⦠Surgery also might be considered if an OLT completely detaches from the ankle bone and/or begins to move around in the joint space, causing locking and catching. Symptoms can be vague. Hales Corners * Greendale * Greenfield * New Berlin * West Allis * Cudahy * St. Francis * West Milwaukee * South Milwaukee * Burlington * Brookfield, 2 Milwaukee Locations, Brookfield & Burlington, Cyst-like lesions on the bone beneath the cartilage, Partial or complete separation of a piece of bone (bone chip fracture), Do exercises to improve your balance and strengthen your feet and ankles, Include stretching in your exercise routine to improve flexibility of the legs (poor range of motion in the hips and knees can put you at risk of ankle injuries), Wear an ankle brace or use strapping tape to stabilize a weak ankle. Osteochondritis dissecans (OCD) of the ankle is the end result of the aseptic separation of an osteochondral fragment of the talar dome with the gradual fragmentation of the articular surface.See the main osteochondritis dissecans article for a general discussion on … âOsteoâ means bone and âchondralâ refers to cartilage. 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