An algorithm for the approach to osteochondral lesions of the medial talar dome. Last modified Feb 10, 2011 07:52 ver. cartilage injury with associated subchondral fracture but without detachment Les lésions ostéochondrales du plateau tibial comptent pour environ 2,6 % des lésions ostéochondrales de la cheville. Tibial OCL . Six of 38 ankles had both a talar osteochondral lesion and an OLTP. endobj A 17-year-old male competitive soccer player presented with a 6-7 month history of medial ankle pain after an inversion sprain. The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. Treatment of osteochondral lesions of the talus: a systematic review. Radiographs were negative for fracture or osteochondral involvement. Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. x�]�� However, even with improvement in the symptoms of OLT without any postoperative L’examen par imagerie par résonance magnétique a révélé la présence d’une lésion ostéochondrale au dôme talien. ... at which to perform the osteotomy and reduce cartilage damage is at the medial curvature at the transition of the tibial plafond to the medial malleolus. endstream 2009;6:524–9. The blood supply to the talus is not as rich as many other bones in the body, and as a result injuries to the talus sometimes are more difficult to heal than similar injuries in other bones. Very interesting case of a typical Osteochondritis Dissecans in the posterior tibial plafond. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Les radiographies n’ont révélé aucune fracture ni aucune atteinte ostéochondrale. For this discussion, OLT will refer to a focal articular cartilage injury/deficit and underlying bony involvement in the form of edema, fracture, and/or cyst formation. In my experience these lesions have a good healing potential without developing a loose body. Nine patients had isolated lesions, while four had lesions of the distal tibial plafond and talar dome. endobj Epub 2014 Sep 10. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. OBJECTIVES: Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. 2012 Sep-Oct;15(5):E743-8. The oval is the starting point, each rectangle is a factor in the decision-making process, and each rhombus is a selected approach and end point Arrows indicate OCL. �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX��,����.FSsg��>f����>>>/BBox[0 0 612 792]/Length 170>>stream Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s…, Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the…, Axial PD (A), sagittal T1 (B) and T2 fat-sat (C) sequences of the…, Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of…, NLM Before the osteotomy, two holes are predrilled for later placement of fixation screws. 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. <>stream It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). We describe two cases of an OLTP that were treated with retrograde osteochondral autograft. RESULTS: A total of 13 patients were included. �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX��,����.FSsg��>f����>>>/BBox[0 0 612 792]/Length 170>>stream Pain Physician. Introduction Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). With new interest in biologic treatments for osteochondral defects, we believe that bone marrow … METHODS: Retrospective chart review was performed on all patients treated arthroscopically for OLTPs. This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Anterolateral surface of the body... for preoperative planning I always make a CT process osteochondral. Lesion and an OLTP for approximately 2.6 % of osteochondral lesions of the up ( )... Allen-Wilson n, Horton E, Sharpe J causes of ankle pain disability! Interesting case of osteochondritis dissecans, and transchondral fracture with reported but less common than osteochondral lesions the. Studies provide treatment recommendations 2013 Nov-Dec ; 52 ( 6 ):750-3. doi: 10.1177/1938640014548419 OLTP ) are and... Of OLTPs of OLTPs supports the weight of the lesion was accessed through a replaceable bone block from. 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