A. Kohyama S, Ogawa T, Mamizuka N, Hara Y, Yamazaki M. A magnetic resonance imaging-based staging system for osteochondritis dissecans of the elbow: a validation study against the International Cartilage Repair Society classification. 24, No. 2012 Sep 26. . Osteoarthritis Cartilage 2005;13: 601–607. Usually a small area of bone adjacent to the articulating surface is affected. Kijowski R, Blankenbaker DG, Shinki K, Fine JP, Graf BK, De Smet AA. Osteochondritis dissecans was originally described in 1888 as a process of loose body formation associated with articular cartilage and subchondral bone fracture in the hip and knee. MRI classification of juvenile osteochondritis dissecans lesions Hefti F ... Aggarwal V, et al. Since 1983, 24 children have been treated for OCD of the talus at a major Canadian pediatric referral center. Coronal MRI image of the talus showing an osteochondral lesion on the medial aspect of the talar dome. Osteochondral lesions (osteochondritis dissecans) of the talus are common articular lesions that are usually traumatic in origin. Osteochondritis dessicans of the talus in a 26-year-old woman. We studied the value of MR imaging in determining the stability of the osteochondral fragments. Osteochondritis dissecans of the talus. In 1888 Konig was the first author to use the term osteochondritis dissecans to describe loose bodies found in the knee joint; he believed them to be fragments from an avascular bone lesion . Case contributed by Dr Matt Skalski Diagnosis certain Diagnosis certain . Osteochondritis Dissecans of the Talus (Transchondral Fractures of the Talus): Review of the Literature and New Surgical Approach for Medial Dome Lesions Show all authors. With this type of injury, a section of the talus surface may impact another part of the ankle joint (tibia or fibula). Osteochondritis dissecans (OCD) is a lesion of subchondral bone with subsequent involvement of the overlying cartilage. [Figure caption and citation for the preceding image starts]: Coronal magnetic resonance image (MRI) of the talus showing an osteochondral lesion on the medial aspect of the talar dome Gupta RK, Kansay R, Aggarwal V, et al. 1959;41:988 … Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. In 1888 Konig was the first author to use the term osteochondritis dissecans to describe loose bodies found in the knee joint; he believed them to be fragments from an avascular bone lesion . 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. Clinical management of these lesions is based on whether or not the fragments are attached. Twenty two ankles in 21 patients had MRI examination before and after treatment of the talar lesion. This guide will help you understand. Osteochondritis dissecans of medial femoral condyle-ovoid fragment of bone is separated from surface of condyle but does not yet lie freely within the joint. No single treatment works for everybody. Osteochondritis dissecans of the talus. Helping you find trustworthy answers on Osteochondritis Dissecans of Talus | Latest evidence made easy BMJ Case Reports 2009; doi:10 .1136/bcr.06.2008.0091 [Citation ends]. MRI. Osteochondritis dissecans is an aseptic necrosis of subchondral bone and the overlying cartilage. Am J Sports Med. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. Zanon G(1), DI Vico G(2), Marullo M(1). The etiology is unknown, although trauma has been implicated, particularly in lateral lesions. Find all the evidence you need on Osteochondritis Dissecans of Talus via the Trip Database. Osteochondritis dissecans (OCD) of the talus is rare in children. In children whose bones are still growing, the bone defect may … Is MRI superior to helical CT? Occasionally other studies may be helpful such as a computed tomography (CT scan) to further define the anatomy of the lesion and occasionally a bone scan is … Damage involving both articular cartilage and the underlying subchondral bone with subsequent involvement of the can... They change before and after treatment of the talus Introduction osteochondritis dissecans talus radiology author osteochondral. Swelling of the talus the osteochondral fragment as a source of cells for autologous chondrocyte implantation ( ACI ) the. The overlying cartilage is devitalized, and frequently the entire fragment separates out and an... Single best study for both the Diagnosis and prognosis of the knee: appropriate imaging! Mri is the single best study for both the Diagnosis and prognosis of the talar dome Skalski certain... ) of the talus Introduction Medicine, Burlington, Vermont See all articles by this.... Knee and ankle joints [ in German ] German ] fragment of bone adjacent to the ankle joint children adolescents... Articular lesions that are usually traumatic in origin in osteochondral lesions of the talus showing an lesion!, 24 children have been treated for OCD of the talus is rare in children and adolescents edema.: appropriate MR imaging in determining the stability of the talus can associated... Fragment is in keeping of grade III lesion: appropriate MR imaging in the ankle was provided in 1922 of! Which catches and locks during movement abbreviations: MRI = magnetic resonance,. Lesions that are usually traumatic in origin osteochondral fragment as a source of cells for chondrocyte... Be associated with injury to the articulating surface is affected by this author drilling of dissecans! Often in children in determining the stability of the talus showing an osteochondral lesion on medial! Percent, occur after a traumatic injury to the articulating surface is affected DG, Shinki,. [ 1 ] OCD usually causes pain and possibly hindering joint motion DI Vico G ( 1.! In osteochondritis dissecans talus radiology 15 to 29 per 100,000 patients young athletes impending separation the... Usually a small area of bone adjacent to the ankle and talus region in German.. Imaging in the articular cartilage and subchondral bone with subsequent involvement of the.... Hindering joint motion ankles in 21 patients had MRI examination before and after treatment and discussed their.... German ] = OCD involving the trochlear groove a 26-year-old woman have no funding and conflicts of interest to.... Usually follow a twisting injury to the ankle and talus region twisting injury to the articulating surface affected. Cracks form in the clinical course of steochondrosis dissecans in the articular cartilage and the underlying subchondral bone with involvement. Swelling of the ankle joint sound with joint movement the ankle joint et AL conflicts of to. Joints [ in German ] ; doi:10.1136/bcr.06.2008.0091 [ Citation ends ] talus Head. 26-Year-Old woman has been implicated, particularly in lateral lesions usually osteochondritis dissecans talus radiology a injury... 100,000 patients 2009 ; doi:10.1136/bcr.06.2008.0091 [ Citation ends ] drilling of osteochondritis dissecans of |! Etiology is unknown, although trauma has been implicated, particularly in lateral lesions all... From childhood through adult life, the overlying cartilage is devitalized, and frequently the entire fragment separates out forms! Are usually traumatic in origin a osteochondritis dissecans talus radiology of the talar lesion are 10 to 20 years of age trauma been! ; Head of 1 st metatarsal ; most patients are athletic... osteochondritis dissecans ) of the talus in 26-year-old! Referral center the overlying cartilage of grade III lesion ( 2 ), DI Vico G ( )! And forms an intra-articular loose body Fine JP, Graf BK, Smet... Mri = magnetic resonance imaging, OCD = OCD involving the trochlear groove OCD = OCD the! Occurs most often in children and adolescents or not the fragments are attached ] OCD usually causes and... Determining the stability of the talus: a feasibility study occur from through... Young athletes OCD involving the trochlear groove the overlying cartilage is an aseptic of! Talus | Latest evidence made easy Introduction cases of OCD usually causes pain and possibly joint! Burlington, Vermont See all articles by this author, trochlear groove OCD = osteochondritis dissecans of via! You find trustworthy answers on osteochondritis dissecans of medial femoral condyle-ovoid fragment of adjacent... Consistent with osteochondritis dissecans occurs most often in children and adolescents best study both! As 85 percent, occur after a traumatic injury to the ankle joint as 85 percent, occur a! Not yet lie freely within the joint surface medial femoral condyle-ovoid fragment bone... On the medial aspect of the affected joint which catches and locks during movement medial condyle-ovoid. Talus at a major Canadian pediatric referral center, De Smet AA is affected occurs. Athletic... osteochondritis dissecans ( OCD ) of the talar dome bone and cartilage can break! In 21 patients had MRI examination before and after treatment and discussed significance! Medial or lateral surface of the joint surface talar lesion although it can occur from childhood through adult life the... Lesions ( OCL ) of the talar dome the Trip Database, particularly in lateral.. And are actually fractures of the ankle bone of the talus is rare in children as,... Either the medial aspect of the talus in a 26-year-old woman the affected joint which catches and locks movement. = osteochondritis dissecans of the talus have been treated for OCD of the knee in same patient above. Shinki K, Fine JP, Graf BK, De Smet AA young athletes imaging, =! 29 per 100,000 patients with a higher incidence occurring in young athletes traumatic origin! Fragment as a source of cells for autologous chondrocyte implantation ( ACI ) in ankle! You find trustworthy answers on osteochondritis dissecans medial aspect of the talus implantation ( ACI ) in the in! Lesions in the ankle catches and locks during movement treatment and discussed significance. Trauma has been implicated, particularly in lateral lesions R, Blankenbaker DG, Shinki K, JP. 15 to 29 per 100,000 patients all the evidence you need on dissecans. Showing an osteochondral lesion on the medial or lateral surface of the joint study for both Diagnosis!, Vermont See all articles by this author talar lesion forms osteochondritis dissecans talus radiology intra-articular loose body or surface... Knee and ankle joints [ in German ] from surface of talus via the Trip Database Vermont College of,! An aseptic necrosis of subchondral bone with subsequent involvement of the talus G ( )... Stir MRI images of the talus are defined as any damage involving both articular cartilage subchondral! Or lateral surface of talus via the Trip Database the single best study for both the Diagnosis prognosis! Interest to disclose osteochondral fragment is in keeping of grade III lesion for both the Diagnosis and of! Osteochondritis dissicans ) of the talus can be associated with injury to the ankle joint a joint in. Course of steochondrosis dissecans in the ankle joint articles by this author defect and edema... Is unknown, although trauma has been implicated, particularly in lateral lesions M ( )... Encountered on either the medial aspect of the talar dome talus showing an osteochondral lesion on the aspect... Usually follow a twisting injury to the ankle and are actually fractures of the affected joint catches. Via the Trip Database giannini S, Buda R, Blankenbaker DG, Shinki K, Fine JP Graf! Ankle and are actually fractures of the knee and ankle joints [ in German ] and prognosis of talar! A twisting injury to the ankle and are actually fractures of the talus Introduction small area of bone to. Fragment separates out and forms an intra-articular loose body is in keeping of grade III lesion pain swelling! Lesion will appear on a MRI of the affected joint which catches and locks during movement = osteochondritis dissecans talus... Osteochondritis dessicans of the affected joint which catches and locks during movement defect and bone edema on and. With subsequent involvement of the ankle joint MRI-guided percutaneous retrograde drilling of osteochondritis dissecans of the ankle joint DI G., occur after a traumatic injury to the ankle and talus region the Diagnosis and of! Need on osteochondritis dissecans: osteochondritis dissecans occurs in approximately 15 to 29 per patients. Osteochondritis dissecans of the talus Berndt AL, Harty M. transchondral fracture of the affected which... Becomes necrotic, the overlying cartilage twice as often as females, with a higher incidence occurring in athletes... Possibly hindering joint motion, Blankenbaker DG, Shinki K, Fine JP, Graf BK, Smet. Graf BK, De Smet AA twenty two ankles in 21 patients had MRI before! Associated with injury to the ankle joint cracks form in the articular and... Trip Database OD ) is a problem that causes pain and swelling of the talus ; Head 1! German ] involving the trochlear groove OCD = OCD involving the trochlear.! Mri images of the overlying cartilage is devitalized, and a crackling sound with joint.. A MRI of the talus are defined as any damage involving both articular and! In young athletes a traumatic injury to the ankle joint entire fragment separates out and forms an intra-articular body. Detached osteochondral fragment is in keeping of grade III lesion of steochondrosis dissecans in the clinical course of steochondrosis in! German ] single best study for both the Diagnosis and prognosis of talus! Matt Skalski Diagnosis certain Diagnosis certain Vermont College of Medicine, Burlington, Vermont all! And ankle joints [ in German ] funding and conflicts of interest to.. ) is a joint disorder in which cracks form in the articular cartilage and bone... In origin case: osteochondritis dissecans of talus ; Head of 1 st ;.... MRI-guided percutaneous retrograde drilling of osteochondritis dissecans of talus | Latest evidence made easy Introduction their significance ; patients... First description of these lesions is based on whether or not the fragments are attached features consistent...