Osteochondral lesions of the Talus
- 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.
- Specialist investigations include plain radiographs and MRI but are not required for referral.
All patients require referral for specialist assessment. If significantly symptomatic, restrict weight bearing prior to clinical review.