Download presentation
Presentation is loading. Please wait.
1
Osteochondral lesion of talar dome
Case for small group discussion AOTrauma—Foot & Ankle Module 16: Sports injuries Per-Henrik Agren, SE
2
Case description 28-year-old woman, referred as osteochondral lesion (OCL) of talar dome Injury on trampoline 4 years ago MRI suggests lateral ligament disruption and medial talar dome lesion with osteophytes Constant pain Pain after jogging Cannot wear heels Varus
3
Preoperative x-ray
4
Preoperative x-ray
5
MRI scans
6
MRI scans
7
Procedure Medial approach
Chevron osteotomy of medial malleolus for visualization and access Resect all osteophytes and deformity Lateral heel shift of calcaneus for foot alignment
8
Postoperative x-ray
9
Postoperative x-ray
10
4 months postoperative
11
4 months postoperative
12
4 months postoperative
13
4 months postoperative
14
4 months postoperative
15
Take-home messages Although not a typical OCL but rather a shearing fracture of medial talus this illustrates: Varus morphotype can aggravate or even produce lateral ankle instability and worsen symptoms of OCLs High incidence of OCLs after ankle fractures and ligament ruptures Treat associated deformities with OCLs
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.