Transchondral Fractures (Osteochondritis Dissecans) of the Talus

¹ Departments of Anatomy and Orthopaedics, the Graduate School of Medicine, University of Pennsylvania, the Department of Orthopoedic Surgery, The Cleveland Clinic Foundation, and the Frank E. Bunts Educational Institute, Cleveland, Ohio

Detached osteochondral fragments from the dome of the talus have been described in orthopaedic publications by a variety of confusing terms. A clarification of this conflicting terminology is suggested.

We believe that the traumatic etiology of the lesion has been confirmed both clinically and experimentally. The problems of clinical and roentgenographic diagnosis are discussed and illustrated by case histories. Various forms of treatment are evaluated, and the prognosis appraised.

CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				M. E. Mitchell, E. Giza, and M. R. Sullivan Cartilage Transplantation Techniques for Talar Cartilage Lesions J. Am. Acad. Ortho. Surg., July 1, 2009; 17(7): 407 - 414. [Abstract] [Full Text] [PDF]

				J. Geerling, S. Zech, D. Kendoff, M. Citak, P. F. O'Loughlin, T. Hufner, C. Krettek, and M. Richter Initial Outcomes of 3-Dimensional Imaging-Based Computer-Assisted Retrograde Drilling of Talar Osteochondral Lesions Am. J. Sports Med., July 1, 2009; 37(7): 1351 - 1357. [Abstract] [Full Text] [PDF]

				E. K. Nam, R. D. Ferkel, and G. R. Applegate Autologous Chondrocyte Implantation of the Ankle: A 2- to 5-Year Follow-Up Am. J. Sports Med., February 1, 2009; 37(2): 274 - 284. [Abstract] [Full Text] [PDF]

				C. Niek van Dijk and C. J. A. van Bergen Advancements in Ankle Arthroscopy J. Am. Acad. Ortho. Surg., November 1, 2008; 16(11): 635 - 646. [Abstract] [Full Text] [PDF]

				R. D. Ferkel, R. M. Zanotti, G. A. Komenda, N. A. Sgaglione, M. S. Cheng, G. R. Applegate, and R. M. Dopirak Arthroscopic Treatment of Chronic Osteochondral Lesions of the Talus: Long-term Results Am. J. Sports Med., September 1, 2008; 36(9): 1750 - 1762. [Abstract] [Full Text] [PDF]

				C. Shanmugam and N. Maffulli Sports injuries in children Br. Med. Bull., June 1, 2008; 86(1): 33 - 57. [Abstract] [Full Text] [PDF]

				A. Saxena and C. Eakin Articular Talar Injuries in Athletes: Results of Microfracture and Autogenous Bone Graft Am. J. Sports Med., October 1, 2007; 35(10): 1680 - 1687. [Abstract] [Full Text] [PDF]

				M. Kono, M. Takao, K. Naito, Y. Uchio, and M. Ochi Retrograde Drilling for Osteochondral Lesions of the Talar Dome Am. J. Sports Med., September 1, 2006; 34(9): 1450 - 1456. [Abstract] [Full Text] [PDF]

				J. Grady and D. Hughes Arthroscopic management of talar dome lesions using a transmalleolar approach. J Am Podiatr Med Assoc, May 1, 2006; 96(3): 260 - 263. [Abstract] [Full Text] [PDF]

				P. C. Kreuz, M. Steinwachs, C. Erggelet, A. Lahm, P. Henle, and P. Niemeyer Mosaicplasty With Autogenous Talar Autograft for Osteochondral Lesions of the Talus After Failed Primary Arthroscopic Management: A Prospective Study With a 4-Year Follow-up Am. J. Sports Med., January 1, 2006; 34(1): 55 - 63. [Abstract] [Full Text] [PDF]

				A. K. Schachter, A. L. Chen, P. D. Reddy, and N. C. Tejwani Osteochondral Lesions of the Talus J. Am. Acad. Ortho. Surg., May 1, 2005; 13(3): 152 - 158. [Abstract] [Full Text] [PDF]

				S. Masala, R. Fiori, A. Marinetti, L. Uccioli, L. Giurato, and G. Simonetti Imaging the Ankle and Foot and Using Magnetic Resonance Imaging International Journal of Lower Extremity Wounds, December 1, 2003; 2(4): 217 - 232. [Abstract] [PDF]

				P Sharma, K. Luscombe, and N Maffulli Sports injuries in children Trauma, October 1, 2003; 5(4): 245 - 259. [Abstract] [PDF]

				R. Roach Osteochondral Lesions of the Talus J Am Podiatr Med Assoc, July 1, 2003; 93(4): 307 - 311. [Abstract] [Full Text] [PDF]

				C. J. Weaver, N. M. Major, W. E. Garrett, and J. E. Urbaniak Femoral Head Osteochondral Lesions in Painful Hips of Athletes: MR Imaging Findings Am. J. Roentgenol., April 1, 2002; 178(4): 973 - 977. [Abstract] [Full Text] [PDF]

				R. M. Kay and C. W. Tang Pediatric Foot Fractures: Evaluation and Treatment J. Am. Acad. Ortho. Surg., September 1, 2001; 9(5): 308 - 319. [Abstract] [Full Text] [PDF]

				A. L. Jimenez and J. H. Morgan Jr. Talar Fractures: Three Case Studies J Am Podiatr Med Assoc, September 1, 2001; 91(8): 415 - 421. [Abstract] [Full Text] [PDF]

				R. S. Paterson, J. N. Brown, and S. N.J. Roberts The Posteromedial Impingement Lesion of the Ankle: A Series of Six Cases Am. J. Sports Med., September 1, 2001; 29(5): 550 - 557. [Abstract] [Full Text] [PDF]

				R. J. Bale, C. Hoser, R. Rosenberger, M. Rieger, K. P. Benedetto, and C. Fink Osteochondral Lesions of the Talus: Computer-assisted Retrograde Drilling--Feasibility and Accuracy in Initial Experiences Radiology, January 1, 2001; 218(1): 278 - 282. [Abstract] [Full Text]

				E. S. Sijbrandij, A. P. G. van Gils, J. W. K. Louwerens, and E. E. de Lange Posttraumatic Subchondral Bone Contusions and Fractures of the Talotibial Joint: Occurrence of "Kissing" Lesions Am. J. Roentgenol., December 1, 2000; 175(6): 1707 - 1710. [Abstract] [Full Text] [PDF]

				L. T. Bui-Mansfield, M. Kline, F. S. Chew, L. F. Rogers, and L. Lenchik Osteochondritis Dissecans of the Tibial Plafond: Imaging Characteristics and a Review of the Literature Am. J. Roentgenol., November 1, 2000; 175(5): 1305 - 1308. [Abstract] [Full Text] [PDF]

				Z. S. Rosenberg, J. Beltran, and J. T. Bencardino MR Imaging of the Ankle and Foot RadioGraphics, October 1, 2000; 20(90001): 153S - 179. [Abstract] [Full Text]

				T. KUMAI, Y. TAKAKURA, I. HIGASHIYAMA, and S. TAMAI Arthroscopic Drilling for the Treatment of Osteochondral Lesions of the Talus J. Bone Joint Surg. Am., September 1, 1999; 81(9): 1229 - 35. [Abstract] [Full Text]

				R. C. SCHENCK JR. and J. M. GOODNIGHT Current Concept Review - Osteochondritis Dissecans J. Bone Joint Surg. Am., March 1, 1996; 78(3): 439 - 56. [Full Text]

				R. Loomer, C. Fisher, R. Lloyd-Smith, J. Sisler, and T. Cooney Osteochondral lesions of the talus Am. J. Sports Med., January 1, 1993; 21(1): 13 - 19. [Abstract] [PDF]

				K. Van Buecken, R. L. Barrack, A. H. Alexander, and J. P. Ertl Arthroscopic treatment of transchondral talar dome fractures Am. J. Sports Med., June 1, 1989; 17(3): 350 - 356. [Abstract] [PDF]

				D. F. Martin, C. L. Baker, W. W. Curl, J. R. Andrews, D. B. Robie, and A. F. Haas Operative ankle arthroscopy: Long-term followup Am. J. Sports Med., January 1, 1989; 17(1): 16 - 23. [Abstract] [PDF]

				G.O. Matheson, D.B. Clement, D.C. Mckenzie, J.E. Taunton, D.R. Lloyd-Smith, and J.G. Macintyre Stress fractures in athletes: A study of 320 cases Am. J. Sports Med., January 1, 1987; 15(1): 46 - 58. [Abstract] [PDF]

				M. J. Hontas, R. J. Haddad, and L. C. Schlesinger Conditions of the talus in the runner Am. J. Sports Med., December 1, 1986; 14(6): 486 - 490. [Abstract] [PDF]

				J. S. Keene and R. H. Lange Diagnostic Dilemmas in Foot and Ankle Injuries JAMA, July 11, 1986; 256(2): 247 - 251. [Abstract] [PDF]

				J. S. Parisien Arthroscopic treatment of osteochondral lesions of the talus Am. J. Sports Med., June 1, 1986; 14(3): 211 - 217. [Abstract] [PDF]

				J. P. Thompson and R. L. Loomer Osteochondral lesions of the talus in a sports medicine clinic: A new radiographic technique and surgical approach Am. J. Sports Med., December 1, 1984; 12(6): 460 - 463. [Abstract] [PDF]

				R. C. REILLY and R. W. BAILEY An Unusual Osteochondral Fracture of the Talus Arch Surg, March 1, 1963; 86(3): 430 - 434. [Abstract] [PDF]

				C. J. SMYTH, R. L. BLACK, C. L. CHRISTIAN, E. P. ENGLEMAN, E. C. FRANKLIN, D. F. HILL, J. L. HOLLANDER, H. L. HOLLEY, J. G. MAYNE, W. M. MIKKELSEN, et al. Rheumatism and Arthritis: Review of American and English Literature of Recent Years * (Fourteenth Rheumatism Review) Ann Intern Med, May 1, 1962; 56(5_Part_2): 1 - 152. [Abstract] [PDF]