OCD Ankle and Talus (Subscribe)  

We reviewed, retrospectively, 65 patients who had undergone arthroscopic treatment for osteochondral lesions of the talus. The 46 men and 19 women with a mean age at operation of 34.25 years, were followed up for a mean of 3.5 years. The medial aspect was affected in 45 patients and the lateral...

The natural history of a medical condition can refer to the outcome of either patients who are not treated at all or those who are treated with conservative measures. Most commonly, patients with talar osteochondritis dissecans (OCD) present with an ankle injury or ankle pain. Because treatment normally consists of...

Osteochondral lesions were first described by Konig in 1888. He theorized that spontaneous necrosis was a causative factor for this condition. In 1922, Kappis described osteochondral lesions in the talus. Rendu,in a report published in 1932 describing intraarticular fractures of the talus, was the first to propose that these lesions may...

Osteochondral lesions of the talus can present as a late complication of ankle injuries. As the talus is largely covered by articular cartilage, it has a limited ability for repair. Early and accurate diagnosis is important as talar integrity is required for optimal function of the ankle. The common presentation is chronic ankle...

The earliest report of osteochondritis dissecans (OCD) was published in 1888 by Konig, who characterized a loose body formation associated with articular cartilage and subchondral bone fracture. In 1922, Kappis described this process in the ankle joint. On the basis of a review of all literature describing transchondral fractures of...

Illustrations of a case of OCD Talus. References mainly to the radiology literature

Osteochondritis dissecans is an injury to the talus bone of the ankle joint. Because the ankle joint is so small, the amount of force that goes across the joint, with each step, has been estimated to be approximately 5-10 times a person's body weight.As a result of this tremendous force...

Thirty patients with osteochondritis dissecans of the ankle have been followed up for an average of 21 years. The histories and radiographs were reviewed, and it was found that most patients had only minor radiographic changes and symptoms. Two patients had developed osteoarthritis but in only one was this severe....

Osteochondritis dissecans of the talus. The late results of surgical treatment
Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later. Three standard surgical approaches were used, and the osteochondritic fragment removed. In some...

AJR 2001; 176:1328-1329 Comment about the nomenclature of OCD, recommending the term be changed to OsteChondral Fracture (OCF)

Osteochondritis dissecans of the talar articular surface of the ankle joint has been well described. We report the imaging characteristics of osteochondritis dissecans of the tibial articular surface (tibial plafond). CONCLUSION: Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. Its radiologic...

Journal of Bone and Joint Surgery, 1959;41:988-1020.
Transchondral Fractures (Osteochondritis Dissecans) of the Talus Albert L. Berndt M.D., M.SC. and Michael Harty F.R.C.S.
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...