How do you treat osteochondral injury?
The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision combined with curettage and microfracturing, filling of the defect with autogenous cancellous …
How do you treat a talar dome fracture?
Nonsurgical Treatment Approaches
- Immobilization. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus.
- Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation.
- Physical therapy.
- Ankle brace.
How is osteochondral lesion of the talus treated?
Excision and curettage. After excision of the loose body, the surrounding necrotic subchondral tissue is curetted using either an open or arthroscopic technique. Most patients had a Berndt and Harty stage III or IV lesion, although also stage II lesions occurred.
Can an osteochondral lesion heal?
In general, osteochondral lesions do not heal on their own. Treatment is usually determined by the stability of the lesion and the amount of pain that it causes you. For small cartilage lesions, especially in younger patients, doctors typically prescribe immobilization with a removable cast, called a cam walker.
Where is the talar dome located?
The talar dome is the upper part of the foot bone (talus) which joins with the leg bones and forms the lower half of the ankle joint. The dome is made of bone (osteo-) and is covered with a layer of cartilage (-chondral).
What is a osteochondral injury?
Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage.
Can you walk with a talus fracture?
You should be able to walk on it, but not without pain. Displaced. The pain, swelling, and tenderness are greater. You may not be able to put weight on the injured ankle.
Is a talar dome lesion a fracture?
The dome is made of bone (osteo-) and is covered with a layer of cartilage (-chondral). Therefore, when a piece of this dome breaks off (fractures), it is referred to as an osteochondral fracture of the talar dome. Physiotherapy is a successful treatment for osteochondral fractures of the talor dome.
How painful is an osteochondral lesion?
A patient with an osteochondral lesion will often feel a dull ache in the joint and may also experience a mild locking or clicking of their knee or ankle joint. The affected joint may also seem to be loose.
How do you treat talus pain?
Treatment. Immediate first aid treatment for a talus fracture, as with any painful ankle injury, is to apply a well-padded splint around the back of the foot and leg to immobilize and protect the limb. The splint should extend from the toe to the upper calf.