Find a physiotherapist in your local area who can treat an osteochondral lesion of the talar dome. A small lateral parapatellar incision is made in the ipsilateral knee and 1-3 osteochondral plugs are taken (B) and transplanted into the talar lesion (C). A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. … The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. They may heal spontaneously with rest. All patients with an osteochondral lesion of the talar dome may have an increased likelihood of developing arthritis of the ankle, particularly in those with more severe injuries, those who require surgery or those who do not complete a high quality rehabilitation program. Sometimes the surgeon will inject the joint with an anesthetic (pain-relieving medication) to see if the pain goes away for a while, indicating that the pain is coming from inside the joint. For 2 ‘Other Exercises’ that can help to improve flexibility following a talar dome lesion, Become a Member. Systematic review of treatment strategies for osteochondral defects of the talar dome. With an MRI, the ligament structures, tendons and cartilage of the ankle can be examined and analyzed. FIGURE 3 Ferkel and Sgaglione’s CT classification of osteochondral lesions of the talus. /* 336x280, large square txt created 11/24/08 */ View more information on the benefits of Becoming a PhysioAdvisor Member. This may involve further investigation such as an X-ray, CT scan, MRI or bone scan, pharmaceutical intervention, corticosteroid injection, the use of supplements such as fish oil, glucosamine and chondroitin or a review by a specialist who can advise on any procedures that may be appropriate to improve the condition. For 4 ‘Advanced Exercises’ that are a vital component of optimal rehabilitation for this condition, Become a Member. exercises to improve flexibility, strength, core stability and balance, activity and lifestyle modification advice, anti-inflammatory and supplement advice (e.g. In eight goats, one defect was treated by drilling six 0.45-mm diameter holes in the defect 2 mm deep; in the remaining eight goats, six 0.45-mm diameter holes were punctured to a depth of 4 mm. Osteochondral defect is a broad term that describes the morphological change of a localized gap in the articular cartilage and subchondral bone 5.It is often used synonymously with osteochondral injury/defect and in the pediatric population. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6.. A thorough subjective and objective examination from a physiotherapist is important in diagnosing an osteochondral lesion of the talar dome. Generally, they should be performed 2-3 times daily once the physiotherapist and/or orthopaedic specialist have indicated it is safe to do so and only provided they do not cause or increase symptoms. As a general rule, addition of exercises or progression to more advanced exercises should only take place provided there is no increase in symptoms. An osteochondral lesion of the talar dome typically occurs during a traumatic injury to the ankle, such as an ankle sprain (particularly involving significant weight bearing forces), a traumatic landing from a height (particularly involving forced end of range ankle movements) or a motor vehicle accident. Treatment depends on the severity of the talar dome lesion. (C) Particulated juvenile cartilage allograft pieces were placed into the lesion bed. Stage IIB: Open articular surface lesion with overlying nondisplaced fragment. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). Using your foot, ankle and the towel, bring your toes towards your head as far as you can go without pain and provided you feel no more than a mild to moderate stretch in the back of your calf, Achilles tendon or front of your ankle. X-rays are taken, and often an MRI or other advanced imaging tests are ordered to further evaluate the lesion and extent of the injury. The ankle joint is formed by the articulation of the tibia, fibula and talus bones (figure 1). Figure 1 – Relevant Anatomy for an Osteochondral Lesion of the Talar Dome. Osteochondral lesion of the talar dome Share | ... An osteochondral defect can be described as an interruption of the normal lining of a joint surface in which both the cartilage and the directly underlying bone are affected. 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