Osteochondral Lesion of the Talus: Quality of Life, Lesion Site, and Lesion Size

Tania Szejnfeld Mann; Caio Nery

doi:10.1016/j.fcl.2023.07.007

Osteochondral Lesion of the Talus: Quality of Life, Lesion Site, and Lesion Size

Foot Ankle Clin. 2024 Jun;29(2):213-224. doi: 10.1016/j.fcl.2023.07.007. Epub 2023 Aug 30.

Authors

Tania Szejnfeld Mann¹, Caio Nery²

Affiliations

¹ Orthopedic Surgery, Federal University of São Paulo, Escola Paulista de Medicina, Sao Paulo, Brazil.
² Orthopedics and Traumatology, UNIFESP, Federal University of São Paulo, Brazil. Electronic address: caionerymd@gmail.com.

PMID: 38679434
DOI: 10.1016/j.fcl.2023.07.007

Abstract

Osteochondral lesions of the talus (OLTs) are the lesions that affect the articular cartilage and the subchondral bone of the talus. Symptoms develop between 6 and 12 months after the index trauma and are associated with degradation of quality of life. Two-thirds of the lesions (73%) are located on the medial part of the talus, 28% of the lesions are posteromedial, and 31% of the lesions are centromedial. Currently, OLT of up to 100 mm² can behave in a more indolent condition, and above that area, the defect tends to transmit more shearing forces to adjacent cartilage and is more symptomatic.

Keywords: Cartilage damage; Foot and ankle; OLT site; OLT size; Osteochondral lesions; Osteochondritis dissecans; Subchondral bone; Talus.

Publication types

Review

MeSH terms

Cartilage, Articular* / injuries
Cartilage, Articular* / pathology
Humans
Osteochondritis / surgery
Quality of Life*
Talus* / injuries
Talus* / pathology