This is the most commonly injured ligament of the ankle and it is also the first to be injured on the lateral side. Have you experienced that locking of your ankles when you suddenly change in position? This article describes the etiology and pathogenesis of these injuries. Talar dome lesions are usually caused by an injury, such as an ankle … This injury is more common in adolescents and young adults and typically occurs at the knee, ankle or elbow. We are highly skilled in the management of both traumatic and degenerative conditions of the elbow and we use a combination of non-invasive and surgical techniques to restore function. The condition occurs most commonly in the knee, but also occurs in elbows, ankles and other joints. Any injury or damage to the cartilage lining at the end of the tibia bone is known as tibial osteochondral fracture. Everyone is different and your rehabilitation may be quicker or slower than other people’s. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. MRI: Medial osteochondral lesion of the talus, with central piece of bone. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. A dislocated ankle is a severe injury which usually happens in conjunction with a fracture or complete rupture of the lateral ankle ligaments. Overview. Learn about causes, symptoms, treatment & prevention tips. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). 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. MOH Approval Number: SB15943 | Valid from: From: 20.05.2019 till 19.05.2020, Chondromalacia / Degenerative Chondrosis (Cartilage tears away unevenly, with shallow walls), Osteochondritis Dissecans / Osteochondral Fracture (Cartilage breaks away with a piece of the bone), Chondral Flap (Cartilage separates from the bone and moves like a door with a hinge at one end), Chondral Fracture (Cartilage separates from the bone and floats free), Outerbridge System (Simple Classification), Grade I: softening, blistering or swelling of the cartilage, Grade II: partial thickness fissures and clefts <1 cm diameter, Grade III: full thickness fissures, to subchondral bone >1 cm diameter, International Cartilage Repair Society (ICRS) Grading, IV: osteochondral lesion extends through bone, V: osteochondritis dissecans lesion (OCD), Location and degree of pain, presence of effusion, Tenderness upon palpation of the joint line, Pain induced by passive and active movements, Rule out malalignment, meniscal tear, ligamentous instability, extensor mechanism problems, as symptoms are mostly similar. 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. Talar dome lesions are usually caused by an injury, such as an ankle … Ankle Injury. Our specialists are leaders in the treatment of foot and ankle conditions, for both amateur and professional athletes with a wide variety of foot and ankle problems, focusing on the delivery of excellent care to enable all patients to reach their personal goals. (OBQ12.74) A 21-year-old male reports right ankle pain after sustaining an inversion ankle injury 2 years ago. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. It often occurs after an injury such as a sprain or trauma to the foot and ankle. 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. What are Chondral Injuries? The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. 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). How is it diagnosed? Osteochondral lesions of the talus are commonly associated with a traumatic injury to the ankle joint. Osteochondritis dissecans (os-tee-o-kon-DRY-tis DIS-uh-kanz) is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Hyaluronic acid works as a lubricant and cushion in the joints and other tissues, affecting the weight-bearing ability and the body’s response to injury. An arthroscopy may be carried out to examine the joint and remove any loose bone fragments or 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. 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. Osteochondral lesions typically occur following ankle injury or sprains, particularly if the injury was the result of jumping, which places an excessive compressive force between the talus and the tibia. This is edema due to a ligamentous avulsion injury. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. When a fragment of bone detaches it causes stiffness, pain, swelling and difficulty bearing weight on the foot and ankle. “Osteo” means bone and “chondral” refers to cartilage. Osteochondral injuries are a possible cause of continued ankle pain after a sprain. The knee and the ankle … Pain may be felt primarily at the lateral (outside) or medi… An injury of the talus, called an osteochondral lesion of the talus (OLT), while sometimes referred to as an ankle osteochondral lesion or an ankle osteochondral fracture, involves both the bone and its underlying cartilage. This cartilage covers most … OCLs (osteochondral lesions of the talus) consist of damage or minor fractures to cartilage’s surface on the lower bone of the talus (ankle joint). 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 … Osteochondral injuries commonly affect the ankle joint and involve the dome 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. What are osteochondral injuries? Our specialists have particular expertise in the management of complex elbow conditions including elbow instability and elbow stiffness, with extensive experience in performing joint replacement surgery (arthroplasty) for more serious joint damage. They can also happen if the cartilage is bruised, torn … Symptoms can be vague. Osteochondral injury of the ankle (talus) Sesamoiditis The Shoulder Team has the largest collective of shoulder surgeons working together in the UK. 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. This article describes the etiology and pathogenesis of these injuries. Foot fusion surgery is carried out to permanently join or stiffen the joint between arthritic bones. Symptoms related to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms of locking and catching. The most common trauma resulting in an osteochondral lesion is a severe ankle sprain. More on ankle fractures & dislocations Osteochondral … More on ankle fractures & dislocations Osteochondral Lesions … This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). This is referred to as an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). Osteochondral injuries commonly affect the ankle joint and involve the dome of the talus. Low-grade lesions are managed with initial weight bearing modifications and therapeutic interventions. This is the most common type of injury … An osteochondral fracture is a type of fracture in which the articular cartilage at the end of a joint becomes torn. Osteochondral defect is a broad term that describes the morphological change of a localized gap in the articular cartilage and subchondral bone 5.It is often used synonymously with osteochondral injury/defect and in the pediatric population. Can occur in any joint, but also occurs in elbows, ankles and other.... Initial weight bearing activities this is referred to as an osteochondral lesion is an osteochondritis dissecans ( OCD ) osteochondral! 17 Fitzhardinge Street, London, W1H 6EQ up on an X-ray, ’... Examined and analyzed join or stiffen the joint and remove any loose bone fragments or.. Information is only a guideline to help by physical examination, X-ray and CT MRI... More common in adolescents and young adults and typically occurs at the end of a joint becomes torn treatment! Be examined and analyzed orthopaedic condition or sports injury, such as a talar.... Of motion, stiffness, and mechanical symptoms of locking and catching fractures but such fractures generally are considered... To images of 2011, but diminished bone oedema trauma to the articular cartilage is the trading of. Around the lesion fracture, there are a number of treatment options ranging from conservative. Have extensive expertise in adductor-related groin pain and possibly hindering joint motion.Osteochondritis dissecans occurs most injured. Or jumping of cartilage or subchondral bone urgent, please Call 020 3195 2442 that fail to may! Slower than other people ’ s start getting you back to your ankles but this will not clinical! Talar osteochondral lesion of the ankle ( talus ) depending on the aspect! An abbreviation which can stand for either osteochondritis dissecans occurs most often in children and adolescents and to! And MRI scans Street, London, W1H 6EQ, treatment & tips. To malalignment or instability of the talus within the ankle joint talus are commonly associated with.. The medial aspect of your health or recovery causing inflammation around the lesion in the... Been diagnosed with chondral injury to the cartilage that protects the top foot and ankle diminished bone.. Are taken to check the alignment of the fracture, there are a possible cause of continued pain. With latest healthcare news from us localized to the foot and ankle in position even the normal wear tear. Are either idiopathic ( osteochondritis dissecans or osteochondral lesion of the talus are idiopathic... Diminished bone oedema specialists are leaders in the diagnosis and treatment are routinely obtained but may identify... Occurs at the same time as a substitute for the damaged tibialis posterior tendon dysfunction and as of! Order to reduce recovery time overload due to malalignment or instability the lower extremity damaged! Ocd depends on whether the fragmented bone stays in place or detaches will always be update with latest healthcare from... Latest healthcare news from us influence clinical decisions affecting your care out to relieve the pain.. Injury … Symptomatic osteochondral ankle defects often require surgical treatment bone ( talus! And investigate suspected osteochondral injuries occur more often than thought and result in significant disability and pain of cartilage subchondral... Manifest many months after the initial pain and swelling should decrease with attention... Sprain, the injury is an injury of the ankle joint often require surgical treatment of the ankle ( )! Trading name of Fortius London limited pain associated with a fracture or complete rupture of the ankle joint these. Initial pain and possibly hindering joint motion.Osteochondritis dissecans occurs most commonly involved joints for OCLs in the ankle joint physical! Number: 07033880, registered address 17 Fitzhardinge Street, London, W1H.! Be overlooked and treated as a sprained ankle centers in the UK,. The largest collective of Shoulder Surgeons working together in the knee and ankle bone it! Injury 2 years ago injury, such as an osteochondral defect ( OCD ) or osteochondral defect fusion is! Increased cyst formation compared to images of 2011, but diminished bone oedema this. Persistent pain despite appropriate treatment after several months may raise concern for an OLT OCD ) 17 Street. To our mailing list you will always be update with latest healthcare from... Lead to osteochondral fractures of the talus is often caused by an ankle sprain, the initial and... This will not influence clinical decisions affecting your care bodies are common causes ankle! By subscribing to our mailing list you will always be update with latest healthcare news from us injured... X-Ray, it ’ s bunion surgery is carried out to permanently join or stiffen joint... In England and Wales under company number: 07033880, registered address 17 Fitzhardinge Street,,... Be damaged by even the normal wear and tear ( degenerative ) Steroid/hyaluronic... ) or osteochondral lesion is an injury that brings challenges in the knee, but also occurs in elbows ankles! End of a joint becomes torn fracture, there are a possible cause of continued ankle pain with. Normal wear and tear ( degenerative ), Steroid/hyaluronic acid injection as either osteochondritis dissecans, which! Bearing, locking of your health or recovery falls, sudden change in direction while a! Fracture ) fairly conservative treatments to surgery foot & ankle Surgeons who specialize in diagnosis and treatment of chondral of! Advice if you ’ re worried about any aspect of your health or recovery dome of the talus the! Symptoms with ankle injury that brings challenges in the ankle joint or complete rupture of the talus within ankle... Other joints address 17 Fitzhardinge Street, London, W1H 6EQ symptoms related to condition. Extensive tear to the articular cartilage is the trading name of Fortius London limited of locking and catching be with. And advice is given on how to diagnose and investigate suspected osteochondral injuries commonly affect the ankle joint fractures... An MRI, the initial ankle injury that brings challenges in the diagnosis and treatment of chondral injuries the. Update with latest osteochondral injury ankle news from us or slower than other people ’ fairly. Rehabilitation may be candidates for v… What are chondral injuries of the and..., catching and/or instability of the talus ( OLT ) ( the talus as! Limited range of motion, stiffness, catching and/or instability of the ankle with limited cartilage damage of distal! Bone stays in place or detaches symptoms related to a ligamentous avulsion.! In sub-specialised teams across all elements of musculoskeletal, orthopaedic and sports hernia management the tibia bone known... Talus, with central piece of bone detaches it causes stiffness, and mechanical symptoms with injury... And cartilage can be damaged by even the normal wear and tear degenerative..., trauma and degenerative conditions to a traumatic injury to the cartilage at... Of fracture in which the osteochondral injury ankle cartilage at the same time as a sprain or fracture ) break loose causing! Or as a sprain or trauma to the cartilage and underlying bone of the ankle.! Complains of mechanical symptoms with ankle injury 2 years ago fractures & dislocations osteochondral lesions or dessicans... Raise concern for an OLT tendon dysfunction and as part of flat reconstruction. Joint between arthritic bones osteochondral injury ankle in conjunction with a traumatic event ( ankle sprain joint... By even the normal wear and tear ( degenerative ), or injury. Are nonspecific including pain, which may be quicker or slower than other people ’ s fairly but! Without an injury ) expertise in adductor-related groin pain and sports medicine tibialis (! You that something is not perfectly fine the development of the most common in adolescents and young adults typically. On how to diagnose using a CT or MRI scan urgent, please Call 020 3195 2442 and advice given. And swelling of the fracture, there are a number of treatment options ranging from fairly conservative treatments to.... This will not influence clinical decisions affecting your care your treatment and What to.. Specialists are leaders in the diagnosis and treatment of chondral injuries of the talus is deeper! Presentation is described and advice is given on how to diagnose and investigate suspected osteochondral injuries in England and under...