Osteochondritis dissecans of the talus: diagnosis and treatment in athletes

Paul G Talusan; Matthew D Milewski; Jason O Toy; Eric J Wall

doi:10.1016/j.csm.2014.01.003

Osteochondritis dissecans of the talus: diagnosis and treatment in athletes

Clin Sports Med. 2014 Apr;33(2):267-84. doi: 10.1016/j.csm.2014.01.003.

Authors

Paul G Talusan¹, Matthew D Milewski², Jason O Toy¹, Eric J Wall³

Affiliations

¹ Department of Orthopaedics & Rehabilitation, Yale University School of Medicine, New Haven, CT 06519, USA.
² Elite Sports Medicine, Connecticut Children's Medical Center, 399 Farmington Avenue, Farmington, CT 06032, USA; Department of Orthopaedics, University of Connecticut, Farmington, CT, USA. Electronic address: [email protected].
³ Division of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2017, Cincinnati, OH, 45229, USA; Department of Surgery, University of Cincinnati School of Medicine, Cincinnati, OH, USA.

PMID: 24698042
DOI: 10.1016/j.csm.2014.01.003

Abstract

Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Osteochondral lesions of the talus can be associated with injury to the ankle. This article discusses the anatomy, pathoanatomy, history, physical examination, imaging, management algorithm, and outcomes of surgical treatment of osteochondral lesions in these patients. This article also presents the authors' recommended surgical technique.

Keywords: Osteochondral fracture; Osteochondral lesion; Osteochondritis dissecans; Talus.

Publication types

Review

MeSH terms

Adult
Athletic Injuries / complications
Athletic Injuries / therapy
Autografts
Female
Fractures, Bone / complications
Fractures, Bone / surgery
Humans
Male
Osteochondritis Dissecans / diagnostic imaging
Osteochondritis Dissecans / etiology
Osteochondritis Dissecans / surgery
Osteochondritis Dissecans / therapy*
Radiography
Talus* / injuries