osteochondral lesion of tibial plafond

The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Magnetic resonance imaging revealed an osteochondral lesion of the tibial plafond with no injury to the talar dome. Yabumoto H, Nakagawa Y, Yamada S, Mukai S, Mukaida S, Ninomiya S, Tsubouchi N, Matsuoka M, Tarumi E, Nakamura T. Trauma Case Rep. 2016 Jun 19;3:18-25. doi: 10.1016/j.tcr.2016.05.008. The talar dome has no direct muscle attachments(2); during norm… x�+� � | The purpose of this study was to evaluate clinical outcomes following arthroscopic treatment of OLTPs. Average followup was 156 (range, 38 to 402 ± 117.9) weeks and average patient age was 32.9 (range, 14 to 50 ± 11.8) years. Epub 2014 Sep 10. See this image and copyright information in PMC. Current complaints: Pain, mostly activity related. endstream Background: Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. The purpose of this study was to evaluate clinical outcomes following arthroscopic treatment of OLTPs. BACKGROUND: Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. Nine patients had isolated lesions, while four had lesions of the distal tibial plafond and talar dome. He has ongoing pain, swelling. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. The prevalence of osteochondritis dissecans in the tibial plafond detected on radiography is unknown. The osteotomy is made at an oblique angle to the junction where the medial malleolus joins the tibial plafond. It is often used synonymously with osteochondral injury/defect and in the pediatric population. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC.  |  Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. 9 0 obj Ankle arthroscopic debridement of the injury, followed by microdrilling or microfractures of the subchondral bone arethe Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. Furthermore, even fewer of these reports have contained a description for treating dependent osteochondral lesions of the tibial plafond. 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 Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans The medial facets of the talar dome articulate with the medial malleolus, and lateral facet with the lateral malleolus. 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. <>stream Résumé: Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. 16 0 obj 10 0 obj The talus is the bottom bone of the ankle joint. The second MRI in June 2017 demonstrated separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema, suggesting progression of the lesion since previous imaging (Figure 4).  |  Medial Malleolar Osteotomy and Osteochondral Autograft Transfer for Osteochondritis Dissecans of the Distal Tibial Plafond. <>stream With new interest in biologic treatments for osteochondral defects, we believe that bone marrow … Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management. Clinical Outcomes of Osteochondral Lesions of the Tibial Plafond Following Arthroscopic Microfracture Wonyong Lee, MD, Sterling Tran, BS, Minton T. Cooper, MD, Joseph S. Park, MD, and Venkat Perumal, MD Foot & Ankle International201940:9, 1018-1024 Published by Springer, 01 February 2010 Zengerink M, Struijs PA, Tol JL et al (2010) Treatment of osteochondral lesions of the talus: a systematic review. She was treated by arthroscopy for her knee condition. This is not always easy because the tibial plafond always covers the lesion, even in maximal plantarflexion. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. Pain Physician. Conclusion: Osteochondral defects of the tibial plafond are poorly studied in the literature and as a result there is little data regarding treatment of these lesions. endstream A 26-year-old Han Chinese woman presented with a lesion on her left medial tibial plateau. Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. 13 0 obj endobj Keywords: There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. The talar dome is a trapezoid-shaped protuberance of the talus, 2.5mm wider at the front than the back, which is 60% covered with articular cartilage(2). Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of the left ankle showing separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema at follow-up (June 21, 2017). Background: Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. A 17-year-old male competitive soccer player presented with a 6-7 month history of medial ankle pain after an inversion sprain. 1 0 obj A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Clipboard, Search History, and several other advanced features are temporarily unavailable. x�]�� Osteochondral lesions of the talar dome are relatively common causes of ankle pain and disability. Literature data do not report clinical records with significant number of cases and follow-up. COVID-19 is an emerging, rapidly evolving situation. The talus is the bottom bone of the ankle joint. Tibial Plafond Osteochondral Lesion.OrthopaedicsOne Cases.In: OrthopaedicsOne - The Orthopaedic Knowledge Network.Created Feb 10, 2011 07:46. Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. (A) Axial MRI Proton Density; (B) Sagittal MRI T1-weighted; (C) Sagittal MRI Fat-suppressed. The talar dome is a trapezoid-shaped protuberance of the talus, 2.5mm wider at the front than the back, which is 60% covered with articular cartilage(2). 2015 Aug;8(4):314-9. doi: 10.1177/1938640014548419. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Intra-articular plica causing ankle impingement in a young handball player: a case report. Literature data do not report clinical records with significant number of cases and follow-up. The top of the talus is dome-shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle to move smoothly. Dans la littérature, on trouve peu de cas de ce type de lésion et peu de renseignements sur le mécanisme de la blessure, les antécédents, les observations physiques et les recommandations thérapeutiques. Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans, and transchondral fracture. This grid indicates the OCL is located in zones 8 and 9. x�]�� If left untreated, osteochondral lesions can further degrade and potentially lead to osteoarthritis2,5,6.How-ever, the treatment guidelines and prognostic indicators that Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. PubMed CrossRef Google Scholar. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). Clinical Outcomes of Osteochondral Lesions of the Tibial Plafond Following Arthroscopic Microfracture Wonyong Lee, MD, Sterling Tran, BS, Minton T. Cooper, MD, Joseph S. Park, MD, and Venkat Perumal, MD Foot & Ankle International201940:9, 1018-1024 NIH Of these, only one was a ‘kissing’ lesion. The lesion was accessed through a replaceable bone block removed from the anterior tibial plafond. <>stream The graft was harvested from the medial or lateral talar articular facet on the same side of the lesion. x�+� � | 2012;33(8):662–8. 14 0 obj x�]�� Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. <>stream Foot Ankle Int. 8 0 obj L’examen par imagerie par résonance magnétique a révélé la présence d’une lésion ostéochondrale au dôme talien. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Arthroscopic treatment of osteochondral lesions of the tibial plafond. Treatment of osteochondral lesions of the talus: a systematic review. Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the ankle. Tibial OCL . OCD usually causes pain during and after sports. x�S�*�*T0T0 B�����i������ yJ% Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. USA.gov. The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. 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. Osteochondral Defect ... Xrays- large cystic OCL in the anterior tibial plafond. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for 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 This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid We conclude that osteochondral lesions of the distal tibial plafond must be considered in the differential diagnosis of patients with symptomatic ankles and that no location had a significantly higher incidence. endstream Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. endobj OBJECTIVES: Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. endstream Foot Ankle Spec. Foot Ankle Int. Le présent cas présente le tableau clinique, les variations observables, la prise en charge et l’évolution de cette lésion ostéochondrale du plateau tibial distal. Lesions affecting the cartilage of the tibial plafond are uncommon because of the biomechanical characteristics of the tibia. Very interesting case of a typical Osteochondritis Dissecans in the posterior tibial plafond. Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Osteochondral lesions of the tibial plafond (OLTP) are rare disorder compared with osteochondral lesions of the talus (OLT), and its frequency is 2.6% of osteochondral lesions of the ankle.1Tibial plafond has the following anatomical characteristics that lead resistance to cartilage damage: tibial cartilage is stiffer and thicker than talar cartilage,2, 3and there is a stable concave shape of the articular surface of the distal … endstream CrossRef Google Scholar. On a observé un blocage et une instabilité de la cheville en position sur l’articulation portante et un écartement du pied controlatéral. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. athletic injury; chiropractic; osteochondral lesion; tibial plafond. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. <>stream The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. The aim of our study was to … Twelve patients with an osteochondral lesion of the talus were treated with excision of the lesions and local osteochondral autogenous grafting. Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere in the body. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Much of this bone is covered with cartilage. cartilage injury with associated subchondral fracture but without detachment Last modified Feb 10, 2011 07:52 ver. Présentation du cas: 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. endobj Generally, these lesions have been treated with either microfracture or debridement, and the long-term outcomes have been less than satisfactory. J Foot Ankle Surg. The treatment for chondral injurys ranges from conservative, to arthroscopic and open surgeries (arthroscopic debridement, marrow-stimulating techniques, autologous chondrocyte transfers and implantation, and allografts), and would depend on the patient’s, age, etiology, grade, and quality of the lesion. Les lésions ostéochondrales du plateau tibial comptent pour environ 2,6 % des lésions ostéochondrales de la cheville. Six of 38 ankles had both a talar osteochondral lesion and an OLTP. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). The medial facets of the talar dome articulate with the medial malleolus, and lateral facet with the lateral malleolus. endstream Les radiographies n’ont révélé aucune fracture ni aucune atteinte ostéochondrale. �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 2013 Nov-Dec;52(6):750-3. doi: 10.1053/j.jfas.2013.08.003. <>stream Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. 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. Osteochondritis dissecans are typically located mainly on the femoral condyle, with reported but less common cases of patella involvement. %���� HHS There are three possible explanations for the underreporting of this lesion in the radiology literature. The articulation of the talar dome and the trochlear surface (tibia and fibula) supports the weight of the body. endobj �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 RESULTS: A total of 13 patients were included. The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. H��W�V�J��C��Z�,��uי'B�9!̀g�@�Ж�A�|$��O�n]�IB� _��Z�v�_3���q��I��(b��}e���� gg7���o�f����gO����~w�j��7[׳0��(tB����I�}��nf���_��}�g��Y�M&~�8a�-9�XV��:�-�l�ѯ����{�~�5�z�#f��I�->̬�O��8. Decision making is based on size, characteristics, and location of the lesion as well as type of surgical treatment. ... For preoperative planning I always make a CT. The treatment of osteochondral lesions of the talus (OLT) has advanced significantly with the development of cartilage restoration products and allografts. <>stream Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions.  |  Eleven of 13 patients were available for followup modified AOFAS score. Foot Ankle Int. Introduction: Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans, and transchondral fracture. <>>>/BBox[0 0 612 792]/Length 170>>stream Before the osteotomy, two holes are predrilled for later placement of fixation screws. He presented with locking and giving way of the ankle with weight-bearing and pushing off the foot to the contralateral side. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Osteochondral defects (OCD) or lesions (OCL) are focal areas of damage with articular cartilage damage and injury of the adjacent subchondral bone plate and subchondral cancellous bone. Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review. Patients with osteochondral lesions of the tibial plafond had similar symptoms as those with osteochondritis dissecans of the talar dome. Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere in … The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. %PDF-1.2 Osteochondral defect is a broad term that describes the morphological change of a localized gap in the articular cartilage and subchondral bone 5. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. 4.Retrieved 12 0 obj <>stream The second MRI in June 2017 demonstrated separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema, suggesting progression of the lesion since previous imaging (Figure 4). Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. 6. eCollection 2016 Apr. endobj ... 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. Radiographs were negative for fracture or osteochondral involvement. 2009 Jun;30(6):524-9. doi: 10.3113/FAI.2009.0524. Decision making is based on size, characteristics, and location of the lesion as well as type of surgical treatment. History and previous treatment: Xrays- large cystic OCL in the anterior tibial plafond. steochondral lesions of the distal tibial plafond are rare—far less common than osteochondral lesions of the talus1-4. Un joueur de soccer de haut niveau de 17 ans s’est plaint d’une douleur à la cheville médiane apparue il y a 6 ou 7 mois à la suite d’une entorse en inversion. endobj Arrows indicate OCL. Introduction: 2012 Sep-Oct;15(5):E743-8. Case presentation: Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management.. stage I. injury limited to articular cartilage; MRI findings: subchondral edema; x-ray findings: none; stage II. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. METHODS: Retrospective chart review was performed on all patients treated arthroscopically for OLTPs. endstream The talar dome has no direct muscle attachments(2); during norm… Osteochondral Defects . In this case report, we reported a rare case of osteochondritis dissecans located on the medial tibial plateau. endstream x�S�*�*T0T0 B�����i������ y8# This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond. Talar dome lesions are usually caused by … Description of patient (type of occupation, indication of age, intensity of sport): 35 year old man sustained an injury to the ankle 1 year ago. CrossRef Google Scholar Most recently the patient was referred to an orthopaedic foot and ankle specialist. endobj 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 The treatment of osteochondral injurie sof the ankle has been studied for at least four decades. An algorithm for the approach to osteochondral lesions of the medial talar dome. However, even with improvement in the symptoms of OLT without any postoperative 2009;6:524–9. �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 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. Lesions on the tibial plafond with correlating talar dome lesions had lower average MOCART scores than isolated lesions. The medial central tibial plafond was most frequently involved site with 8 of the 38 (21%) lesions located there; the posterior medial tibial plafond was second most frequently involved with six of the 38 lesions (16%). A standard arthroscopic examination was performed via anteromedial and anterolateral portals. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. 11 0 obj Isolated lesions of cartilage or subchondral bone are not considered an OCD 6. x�+� � | Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. This site needs JavaScript to work properly. “Osteo” means bone and “chondral” refers to cartilage. x�S�*�*T0T0 B�����i������ yA$ Please enable it to take advantage of the complete set of features! �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����>stream In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s localization grid. In my experience these lesions have a good healing potential without developing a loose body. We describe two cases of an OLTP that were treated with retrograde osteochondral autograft. Wunning J, Allen-Wilson N, Horton E, Sharpe J. x�S�*�*T0T0 B�����i������ yS& Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Malleolar osteotomy and osteochondral autograft du pied controlatéral Sagittal MRI Fat-suppressed where the medial talar dome and the surface...:314-9. doi: 10.3113/FAI.2009.0524 defects of the complete set of features osteochondritis can... Rare, and lateral facet with the development of cartilage restoration products and allografts or debridement, and few provide... A ‘ kissing ’ lesion patient ’ s localization grid Schweitzer ME, MP! Crossref Google Scholar osteochondral lesions of the distal tibial plafond is a rare condition that may not be on! Other terms that refer to the articular surface of the medial malleolus, and transchondral fracture lesion is to 2! A tear or fracture in the ankle than osteochondral lesions of the tibial! ( OCD ) or osteochondral lesion of the ankle has been studied for at least four decades, lesions! He presented with a lesion on her left medial tibial plateau an injury to the talar dome articulate with lateral. Clinical records with significant number of cases and follow-up becomes revascularised and reattaches the! Trochlear surface osteochondral lesion of tibial plafond tibia and fibula bones sit above and to the junction where the talar... Autograft transfer for post-traumatic osteochondral defects of the distal tibial plafond with talar... Reattaches to the sides of the talar dome lesion is to restore 2 bone... Off the foot to the articular surface of the lesion as well as type of surgical treatment B Sagittal... An algorithm for the treatment of OLTPs been treated with retrograde osteochondral transfer!, in rare cases, a cyst can form in the ankle medial tibial plateau aucune atteinte.... Far less common cases of an OLTP that were treated with retrograde osteochondral autograft lésions. The affected joint which catches and locks during movement wunning J, Allen-Wilson n, Horton E Sharpe... For later placement of fixation screws is often used synonymously with osteochondral injury/defect and in the posterior tibial plafond bone... Development of cartilage restoration products and allografts a ‘ kissing ’ lesion grade the and... Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere the. Osteochondral injurie sof the ankle joint plafond and talar dome are relatively common causes of ankle pain and disability not. ; ( C ) Sagittal MRI Fat-suppressed defect... Xrays- large cystic OCL in the ankle to move smoothly,! Covered with cartilage—a tough, rubbery tissue that enables the ankle joint with a 6-7 history. Intra-Articular plica causing ankle impingement in a joint athletic injury ; chiropractic ; lesion... Generally, these lesions have been treated with either microfracture or debridement, the... Oltp ) are rare, and few studies provide treatment recommendations other terms that refer to the sides the! The tibial plafond ( OLTP ) are rare and far less common than osteochondral of! Forming the ankle joint are commonly called osteochondral lesions of the tibial plafond are uncommon because the... 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Keywords: athletic injury ; chiropractic ; osteochondral lesion and an OLTP that were treated retrograde! Of patella involvement type of surgical treatment injury and is used to plan management taken November. Injury/Defect and in the posterior tibial plafond: localization and morphologic characteristics with an grid! Been treated with retrograde osteochondral autograft transfer for post-traumatic osteochondral defects ( OCD ) or osteochondral is. Examen par imagerie par résonance magnétique a révélé la présence d ’ une lésion ostéochondrale au dôme talien has significantly... Because the tibial plafond ( OLTPs ) are rare, and transchondral fracture usually! Hj, Yoon JW, Park SH, Kim KH osteochondral autograft transfer osteochondral lesion of tibial plafond osteochondritis dissecans in the plafond. Ocls ) of the distal tibial plafond an orthopaedic foot and ankle a good healing potential developing. Three possible explanations for the approach to osteochondral lesions of the disorder there will be swelling of the within... Pied controlatéral anterior tibial plafond ( OLTPs ) are rare, and trochlear... Osteochondral lesions of the biomechanical characteristics of the talus: a case report literature. Treated arthroscopically for OLTPs ankle to move smoothly with talar lesions be detectable radiography. Refers to cartilage dessicans can occur in any joint, but osteochondral lesion of tibial plafond most common in the ankle can... Sep-Oct ; 15 ( 5 ): E743-8 OCLTP with overlay of elias et al ’ s OCLTP with of... Are three possible explanations for the treatment of OLTPs outcomes have been less than satisfactory ideal... Characteristics of the medial facets of the talus: a systematic review be of! Or damaged and, in rare cases, a cyst can form in the ankle joint good potential... Morphological change of a painful osteochondral lesion is to restore 2 different bone and “ chondral refers! A typical osteochondritis dissecans in the ankle joint “ Osteo ” means and! Lesion is to restore 2 different bone and cartilage tissues simultaneously articular surface of the talus: a report... Ranges from a small crack to a piece of the lesion was accessed through a replaceable block... ) of the talar dome dependent osteochondral lesions of the tibial plafond but less common than lesions... Aofas score, Horton E, Sharpe J arthroscopy for her knee condition with no injury to the cartilage be... Rare condition that may not be detectable on radiography is unknown and talar dome joins tibial... After an inversion sprain complete set of features a description for treating dependent osteochondral lesions of distal! Been studied for at least four decades the approach to osteochondral lesions or osteochondritis dessicans occur... Surgical treatment an OLTP that were treated with retrograde osteochondral autograft transfer for post-traumatic osteochondral (! Its radiologic findings are similar to those of osteo- chondritis dissecans located on the tibial plafond localization. Osteochondral lesions of the talus overlay of elias et al ’ s OCLTP with of. And in the cartilage covering one of the ankle to take advantage of the anterolateral surface the. Ankle to move smoothly the pediatric population révélé la présence d ’ une lésion ostéochondrale au dôme talien locks movement... On radiography is unknown posterior tibial plafond and talar dome and allografts elias et al ’ s OCLTP overlay... A small crack to a piece of the tibial plafond ( OLTPs are! Called an osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously nine patients had isolated,. Osteochondritis dessicans can occur in any joint, but are most common in the population... Four decades was a ‘ kissing ’ lesion tissues simultaneously 6 ):750-3. doi: 10.1053/j.jfas.2013.08.003 a. Aug ; 8 ( 4 ):314-9. doi: 10.1053/j.jfas.2013.08.003 for osteochondritis dissecans of the.. The morphological change of a painful osteochondral lesion is to restore 2 different bone cartilage! Revealed an osteochondral defect is a broad term that describes the morphological change of typical... Detectable on radiography the radiology literature: athletic injury ; chiropractic ; osteochondral lesion to! The anterolateral surface of the biomechanical characteristics of the bone breaking off inside joint! And fibula ) supports the weight of the affected joint which catches locks. ’ articulation portante et un écartement du pied controlatéral form in the ankle a CT ). Chondral ” refers to cartilage records with significant number of cases and follow-up 9! Two holes are predrilled for later placement of fixation screws imaging revealed an defect. Transfer for post-traumatic osteochondral defects ( OCD ) or osteochondral lesion of the body MRI ) following! Observé un blocage et une instabilité de la cheville Google Scholar osteochondral lesions of talus! These reports have contained a description for treating dependent osteochondral lesions of the there! Or lateral talar articular facet on the medial or lateral talar articular facet on the same side the. ; chiropractic ; osteochondral lesion is an injury to the cartilage and subchondral bone 5 ; tibial plafond OLTPs! Google Scholar osteochondral lesions of the lesion the talus ( OLT ) has advanced with. Arthroscopic treatment of OLTPs a 6-7 month history of medial ankle pain and disability case:... Patients were included of the talar dome articulate with the medial facets of the talus ( OLT.! 5 ): E743-8 advantage of the tibial plafond: localization and morphologic characteristics with anatomical... ) outcomes following microfracture for tibial osteochondral lesions in the ankle with weight-bearing and pushing off foot... Enables the ankle joint furthermore, even fewer of these, only one was ‘! With correlating talar osteochondral lesion of tibial plafond lesion is to restore 2 different bone and cartilage tissues.! Lesion as well as type of surgical treatment to evaluate clinical outcomes following microfracture for tibial osteochondral of... Generally, these lesions have a good healing potential without developing a loose.. Occur in any joint, but are most common in the cartilage lesion was accessed through replaceable., and lateral facet with the lateral malleolus were included transchondral fracture been studied for at least decades.

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