Osteochondral lesion of the talus

Osteochondral lesion of the talus

Patients with persistent pain (and sometimes instability) in the - ankle following an injury should be suspected of having an osteochondral lesion, with MRI or CT usually required for diagnosis. Repair of cartilage is not yet possible and large meta-analyses of experimental techniques such as grafting, cell - culture, implants and stem cells have not yet shown any statis - - e tical benefit. Debridement and microabrasion/microfractur form the mainstay of treatment. Large fragments seen early might benefit from early fixation. Juveniles seem to have a high ery rate and surgery should not be necessary . spontaneous recov Many patients have ongoing pain following ankle injury that is simply due to synovitis within the ankle joint, prominence of the syndesmotic ligament into the joint, impaction injury or undiagnosed fracture or OCD lesion. MRI is mandatory for these cases but usually misses the synovitis. Synovitis may be treated non-operatively , with an injection of steroid. Persistent symptoms may require arthroscopic debridement. Osteochondral lesion of the talus

Patients with persistent pain (and sometimes instability) in the - ankle following an injury should be suspected of having an osteochondral lesion, with MRI or CT usually required for diagnosis. Repair of cartilage is not yet possible and large meta-analyses of experimental techniques such as grafting, cell - culture, implants and stem cells have not yet shown any statis - - e tical benefit. Debridement and microabrasion/microfractur form the mainstay of treatment. Large fragments seen early might benefit from early fixation. Juveniles seem to have a high ery rate and surgery should not be necessary . spontaneous recov Many patients have ongoing pain following ankle injury that is simply due to synovitis within the ankle joint, prominence of the syndesmotic ligament into the joint, impaction injury or undiagnosed fracture or OCD lesion. MRI is mandatory for these cases but usually misses the synovitis. Synovitis may be treated non-operatively , with an injection of steroid. Persistent symptoms may require arthroscopic debridement. Osteochondral lesion of the talus

Patients with persistent pain (and sometimes instability) in the - ankle following an injury should be suspected of having an osteochondral lesion, with MRI or CT usually required for diagnosis. Repair of cartilage is not yet possible and large meta-analyses of experimental techniques such as grafting, cell - culture, implants and stem cells have not yet shown any statis - - e tical benefit. Debridement and microabrasion/microfractur form the mainstay of treatment. Large fragments seen early might benefit from early fixation. Juveniles seem to have a high ery rate and surgery should not be necessary . spontaneous recov Many patients have ongoing pain following ankle injury that is simply due to synovitis within the ankle joint, prominence of the syndesmotic ligament into the joint, impaction injury or undiagnosed fracture or OCD lesion. MRI is mandatory for these cases but usually misses the synovitis. Synovitis may be treated non-operatively , with an injection of steroid. Persistent symptoms may require arthroscopic debridement.