Osteochondral lesion of the talus (OLT) involves an area of cartilage damage that separates from the underlying bone, usually the talus. These lesions may be incidental or post-traumatic. They may be acute or chronic. The degree of symptoms experienced may vary from asymptomatic to aching and pain experienced on every step. The size, location and depth of the lesion can help determine treatment required. Ultimately the aim of treatment is to reduce or eradicate pain associated with the lesion, to allow the patient to return to normal activities. Non painful lesions may not require any treatment other than observation.
Many are related to trauma, chronic instability of the ankle joint or recurrent ankle sprains. Other causes include repetitive micro trauma, avascular necrosis (loss of blood supply to the bone), congenital or spontaneous necrosis of the bone.
May depend on the specific or associated underlying cause, such as:
Symptoms may wax and wane, or worsen. If repetitive, there is risk of fracture, cartilage damage, injury to the peroneal tendons. Eventually ankle joint arthritis may ensue which results in loss of articular or joint cartilage leading to progressive stiffness/pain/swelling.
All surgery has risks involved, however every effort is made to reduce these risks. Risks include but are not limited to:
Welcome back to the Salus Foot Surgeon Blog! By now
Today we are going to talk more about walking. Yes,