Osteochondral lesions of the Talus

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Patient Information

https://www.foothealthfacts.org/conditions/talar-dome-lesion

GP Information

Background Information

  • Osteochondral lesions of the talus may be casued by a single injury or repetitive microtrauma.
  • Medial lesions are typically larger and deeper without Hx of trauma.
  • Lateral lesions are typically smaller and traumatic.
  • Patients complain of pain, swelling, and mechanical symptoms (catching / locking).
  • Examination may reveal stiffness and swelling.

Investigation Guidelines

  • Specialist investigations include plain radiographs and MRI but are not required for referral.

Management Recommendations

All patients require referral for specialist assessment. If significantly symptomatic, restrict weight bearing prior to clinical review.