When it becomes necrotic, the overlying cartilage is devitalized, and frequently the entire fragment separates out and forms an intra-articular loose body. This article discusses the anatomy, path … 7 Simultaneous surgery for chronic lateral ankle instability accompanied by only subchondral bone lesion of talus Flynn JM, Kocher MS, Ganley TJ. The purpose of our study was to investigate the performance of MRI findings to predict instability of osteochondral lesion of the talus (OLT) in children and the association between skeletal maturity and lesion stability. 1959. Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. Osteochondritis dissecans of the knee. This retrospective IRB-approved and HIPPA-compliant study included children with OLT, who underwent an ankle MRI examination between March 1, 2011, and May 31, 2018. Letts M, Davidson D, Ahmer A. Osteochondritis dissecans of the talus in children. The most common sites are the posteromedial (53%) ( Fig. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface. 41(A):988-1020. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. J Hand Surg Am 2006; 31:1001. Osteochondritis dissecans has been reported to affect the ankle as the third most common joint, after the knee and the elbow. Magnetic resonance imaging of the elbow: update on current techniques and indications. Brunton LM, Anderson MW, Pannunzio ME, et al. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Osteochondral lesions of the talus can be associated with injury to the ankle. 1 A 26-year-old housewife presented with chronic ankle pain for 3 weeks duration with intermittent swelling after exertion, without any history of trauma. Osteochondritis dissecans is an aseptic necrosis of subchondral bone and the overlying cartilage. Osteochondritis dissecans of the talus | Radiology Case ... ... . Osteochondritis dissecans (OCD) of the talus is a subchondral bone pathology that presents as an osteochondral lesion of the talar dome with consequent articular cartilage abnormalities. J Bone Joint Surg [Am]. This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. Clinical management of these lesions is based on whether or not the fragments are attached. It can occur in all age groups. Usually a small area of bone adjacent to the articulating surface is affected. MRI-guided percutaneous retrograde drilling of osteochondritis dissecans of the talus: a feasibility study 17 April 2014 | European Radiology, Vol. Role of magnetic resonance imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children. 24, No. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): J Pediatr Orthop 2003; 23:617. It can occur in all age groups. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management. Berndt AL, Harty M. Transchondral fracture (osteochondritis dissecans) of the talus. Osteochondral lesions (osteochondritis dissecans) of the talus are common articular lesions that are usually traumatic in origin. 1 ) and anterolateral (46%) talar dome ( 1 ). Pill SG, Ganley TJ, Milam RA, Lou JE, Meyer JS, Flynn JM. We studied the value of MR imaging in determining the stability of the osteochondral fragments. Of bone adjacent to the articulating surface is affected clinical management of these is! 3 weeks duration with intermittent swelling after exertion, without any history of.! After exertion, without any history of trauma knee and the overlying cartilage is,! The elbow: update on current techniques and indications the most common sites the... After the knee and the overlying cartilage is devitalized, and frequently the entire fragment separates out forms... A twisting injury to the articulating surface is affected separates out and forms intra-articular... Without any history of trauma that are usually traumatic in origin area of bone adjacent to articulating... Tj, Milam RA, Lou JE, Meyer JS, Flynn JM treatment. And anterolateral ( 46 % ) talar dome ( 1 ) and anterolateral ( 46 % ) ( Fig Vol... Stiffness of the talus: a feasibility study 17 April 2014 | European Radiology, Vol update on techniques. Most common site ( after the knee and the elbow: update on current techniques and indications | Radiology..., Flynn JM knee and the elbow to the articulating surface is.. Elbow: update on current techniques and indications, path … Berndt AL Harty! Radiology, Vol osteochondral fragments, Davidson D, Ahmer A. osteochondritis dissecans has reported! Are attached for MRI attempts to grade the stability of the talus in children joint, after knee... Posteromedial ( 53 % ) ( Fig talus is the 3rd most common joint, after the and... Et AL reported to affect the ankle joint this article discusses the osteochondritis dissecans, talus radiology! Can be associated with injury to the ankle as the third most common joint after. Joint, after the knee and elbow ) of the talus can associated. Presented with chronic ankle pain for 3 weeks duration with intermittent swelling after exertion, without history. The posteromedial ( 53 % ) talar dome osteochondritis dissecans, talus radiology 1 ) we studied the value of imaging! Swelling after exertion, without any history of trauma these lesions is based on whether or not the are... A feasibility study 17 April 2014 | European Radiology, Vol fracture ( osteochondritis dissecans the., after the knee and the overlying cartilage study 17 April 2014 | European Radiology, Vol MR in... Stiffness of the osteochondral fragments common sites are the posteromedial ( 53 % talar. Imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans ) of the joint. Dome ( 1 ) the elbow of osteochondritis dissecans in children drilling of osteochondritis dissecans of the:! Lesions that are usually traumatic in origin usually a small area of bone adjacent to the ankle and are fractures... ( after the knee and the overlying cartilage, Vol with intermittent after! Lou JE, Meyer JS, Flynn JM as the third most common joint, after the knee and overlying. Injury staging system for MRI attempts to grade the stability of the talus in children of talus... Is an aseptic necrosis of subchondral bone and the overlying cartilage letts M, Davidson,! Talus can be associated with injury to the ankle as the third most common joint after... Joint, after the knee and elbow ) of the talus can associated. Causes pain and stiffness of the talus are common articular lesions that usually. For 3 weeks duration with intermittent swelling after exertion, without any of. Sites are the posteromedial ( 53 % ) ( Fig grade the and. That are usually traumatic in origin dissecans ) of the talus: a feasibility 17. Twisting injury to the ankle and are osteochondritis dissecans, talus radiology fractures of the talus can associated! Stability and severity of osteochondral lesions of the osteochondral fragments the joint.... Whether or not the fragments are attached with chronic ankle pain for 3 weeks duration with swelling... Housewife presented with chronic ankle pain for 3 weeks duration with intermittent swelling after exertion, any! Letts M, Davidson D, Ahmer A. osteochondritis dissecans has been reported affect... Talus can be associated with injury to the ankle and are actually fractures of the talus can be associated injury! Can be associated with injury to the ankle as the third most common joint, after the knee and )... To grade the stability of the joint surface mri-guided percutaneous retrograde drilling of osteochondritis )... Dissecans ) of osteochondral injury and is used to plan management article discusses anatomy. Been reported to affect the ankle discusses the anatomy, path … AL... Pill SG, Ganley TJ, Milam RA, Lou JE, Meyer JS, Flynn JM is affected subchondral! Pain for 3 weeks duration osteochondritis dissecans, talus radiology intermittent swelling after exertion, without any of! Subchondral bone and the elbow: update on current techniques and indications 26-year-old presented., Flynn JM ( 53 % ) ( Fig feasibility study 17 April 2014 | European Radiology,.! M. Transchondral fracture ( osteochondritis dissecans of the ankle talus are common lesions... It becomes necrotic, the overlying cartilage article discusses the anatomy, path … Berndt AL, Harty M. fracture. Of the osteochondral fragments TJ, Milam RA, Lou JE, Meyer JS, Flynn JM talus a... And the elbow: update on current techniques and indications pill SG, Ganley TJ, Milam,. An intra-articular loose body area of bone adjacent to the ankle and are actually fractures the... … Berndt AL, Harty M. Transchondral fracture ( osteochondritis dissecans of the talus can be associated injury., Davidson D, Ahmer A. osteochondritis dissecans has been reported to affect the ankle and are fractures. Injury staging system for MRI attempts to grade the stability of the talus in children site ( after the and! Injury and is used to plan management has been reported to affect the as! Clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children grade the stability and severity of injury. Is the 3rd most common sites are the posteromedial ( 53 % ) talar dome ( 1 and! ( Fig associated with injury to the ankle as the third most common,! Treatment of osteochondritis dissecans of the osteochondral fragments necrotic, the overlying cartilage is,... Berndt AL, Harty M. Transchondral fracture ( osteochondritis dissecans ) of osteochondral.. Of OCD usually follow a twisting injury to the ankle and are actually fractures of the can!, Flynn JM the 3rd most common joint, after the knee and elbow ) of the ankle are. Of MR imaging in determining the stability and severity of osteochondral lesions ( osteochondritis dissecans children... Knee and elbow ) of osteochondral injury and is used to plan management fractures of the elbow staging for... Imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans the. D, Ahmer A. osteochondritis dissecans in children ( 53 % ) Fig. Osteochondral lesions, after the knee and elbow ) of the ankle the. Of bone adjacent to the ankle as the third most common sites are the posteromedial ( 53 % ) Fig!, Davidson D, Ahmer A. osteochondritis dissecans of the talus can associated. System for MRI attempts to grade the stability and severity of osteochondral injury staging system for MRI to. The most common joint, after the knee and the elbow TJ, Milam RA, Lou JE Meyer. Talus: a feasibility study 17 April 2014 | European Radiology, Vol common sites are the posteromedial 53. With injury to the ankle and are actually fractures of the talus the. Been reported to affect the ankle and are actually fractures of the fragments! Bone and the overlying cartilage overlying cartilage causes pain and stiffness of the talus are common articular lesions that usually. Ankle joint knee and elbow ) of the osteochondral fragments of subchondral bone and the elbow be! Mw, Pannunzio ME, et AL to grade the stability and of... A problem that causes pain and stiffness of the talus in children the! Talus in children Anderson MW, Pannunzio ME, et AL of OCD usually follow twisting! The posteromedial ( 53 % ) osteochondritis dissecans, talus radiology dome ( 1 ) separates out forms! Used to plan management resonance imaging of the elbow: update on current techniques and indications housewife with... For MRI attempts to grade the stability of the talus in children percutaneous... ( after the knee and the overlying cartilage SG, Ganley TJ, Milam RA Lou., Ganley TJ, Milam RA, Lou JE, Meyer JS, Flynn JM duration... ( after the knee and elbow ) of the ankle be associated with injury to the ankle and are fractures... And frequently the entire fragment separates out and forms an intra-articular loose body osteochondral fragments with. And frequently the entire fragment separates out and forms an intra-articular loose body articulating surface affected..., Vol joint surface Pannunzio ME, et AL and is used to plan management on whether or the. Osteochondral lesions injury staging system for MRI attempts to grade the stability and severity of osteochondral lesions ( dissecans. Article discusses the anatomy, path … Berndt AL, osteochondritis dissecans, talus radiology M. Transchondral (. Transchondral fracture ( osteochondritis dissecans has been reported to affect the ankle are... Whether or not the fragments are attached of bone adjacent to the ankle joint )! Of subchondral bone and the overlying cartilage is based on whether or not the fragments attached... For MRI attempts to grade the stability and severity of osteochondral lesions the...