The talar dome has no direct muscle attachments(2); during norm… METHODS: Retrospective chart review was performed on all patients treated arthroscopically for OLTPs. x�+� � | Seo SS, Park JY, Kim HJ, Yoon JW, Park SH, Kim KH. Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. 14 0 obj The purpose of this study was to evaluate clinical outcomes following arthroscopic treatment of OLTPs. <>stream Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX†��,����.FSsg��>f����>>>/BBox[0 0 612 792]/Length 170>>stream HHS Osteochondral autograft transfer for post-traumatic osteochondral defects of the anterolateral surface of the distal tibial plafond. Osteochondral Defects . The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. He presented with locking and giving way of the ankle with weight-bearing and pushing off the foot to the contralateral side. On a observé un blocage et une instabilité de la cheville en position sur l’articulation portante et un écartement du pied controlatéral. Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans, and transchondral fracture. Le présent cas présente le tableau clinique, les variations observables, la prise en charge et l’évolution de cette lésion ostéochondrale du plateau tibial distal. x�S�*�*T0T0 B�����i������ yJ% Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. L’examen par imagerie par résonance magnétique a révélé la présence d’une lésion ostéochondrale au dôme talien. Decision making is based on size, characteristics, and location of the lesion as well as type of surgical treatment. This site needs JavaScript to work properly. Les radiographies n’ont révélé aucune fracture ni aucune atteinte ostéochondrale. There are three possible explanations for the underreporting of this lesion in the radiology literature. An osteochondral lesion of the talar dome is an injury to the talus, which is a bone in the foot that along with the tibia forms the ankle joint. CrossRef Google Scholar x�]�� Six of 38 ankles had both a talar osteochondral lesion and an OLTP. Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Osteochondral Defect ... Xrays- large cystic OCL in the anterior tibial plafond. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. The blood supply to the talus is not as rich as many other bones in the body, and as a result injuries to the talus sometimes are more difficult to heal than similar injuries in other bones. The talar dome has no direct muscle attachments(2); during norm… The blood supply to the talus is not as rich as many other bones in the body, and as a result injuries to the talus sometimes are more difficult to heal than similar injuries in other bones. Summary: Of these, only one was a ‘kissing’ lesion. Talar dome lesions are usually caused by … cartilage injury with associated subchondral fracture but without detachment <>stream <>>>/BBox[0 0 612 792]/Length 170>>stream The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s…, Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the…, Axial PD (A), sagittal T1 (B) and T2 fat-sat (C) sequences of the…, Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of…, NLM For this discussion, OLT will refer to a focal articular cartilage injury/deficit and underlying bony involvement in the form of edema, fracture, and/or cyst formation. Ankle arthroscopic debridement of the injury, followed by microdrilling or microfractures of the subchondral bone arethe 13 0 obj Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Furthermore, even fewer of these reports have contained a description for treating dependent osteochondral lesions of the tibial plafond. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). Please enable it to take advantage of the complete set of features! The lesion was accessed through a replaceable bone block removed from the anterior tibial plafond. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. She was treated by arthroscopy for her knee condition. 2012;33(8):662–8. Foot Ankle Spec. NIH Literature data do not report clinical records with significant number of cases and follow-up. Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Lesions affecting the cartilage of the tibial plafond are uncommon because of the biomechanical characteristics of the tibia. BACKGROUND: Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. tibial plafond is frequently observed when performing arthroscopic treatment for an osteochondral lesion of the talus (OLT) and is usu- ally resected during the arthroscopic procedure. Current complaints: Pain, mostly activity related. It is often used synonymously with osteochondral injury/defect and in the pediatric population. <>stream Patients with osteochondral lesions of the tibial plafond had similar symptoms as those with osteochondritis dissecans of the talar dome. COVID-19 is an emerging, rapidly evolving situation. Osteochondral lesions of the talar dome are relatively common causes of ankle pain and disability. Wunning J, Allen-Wilson N, Horton E, Sharpe J. Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX†��,����.FSsg��>f����>stream In my experience these lesions have a good healing potential without developing a loose body. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. ... at which to perform the osteotomy and reduce cartilage damage is at the medial curvature at the transition of the tibial plafond to the medial malleolus. Introduction: endobj (A) Axial MRI Proton Density; (B) Sagittal MRI T1-weighted; (C) Sagittal MRI Fat-suppressed. The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. endstream There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Much of this bone is covered with cartilage. The osteotomy is made at an oblique angle to the junction where the medial malleolus joins the tibial plafond. Much of this bone is covered with cartilage. PubMed CrossRef Google Scholar. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. Eleven of 13 patients were available for followup modified AOFAS score. Generally, these lesions have been treated with either microfracture or debridement, and the long-term outcomes have been less than satisfactory. An algorithm for the approach to osteochondral lesions of the medial talar dome. 6. Osteochondral lesions of the tibial plafond (OLTP) are rare disorder compared with osteochondral lesions of the talus (OLT), and its frequency is 2.6% of osteochondral lesions of the ankle.1Tibial plafond has the following anatomical characteristics that lead resistance to cartilage damage: tibial cartilage is stiffer and thicker than talar cartilage,2, 3and there is a stable concave shape of the articular surface of the distal … x�S�*�*T0T0 B�����i������ y8# Pain Physician. An algorithm for the approach to osteochondral lesions of the medial talar dome. Yabumoto H, Nakagawa Y, Yamada S, Mukai S, Mukaida S, Ninomiya S, Tsubouchi N, Matsuoka M, Tarumi E, Nakamura T. Trauma Case Rep. 2016 Jun 19;3:18-25. doi: 10.1016/j.tcr.2016.05.008. <>stream x�+� � | %���� Tibial OCL . Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. Background: Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. <>stream Lesions on the tibial plafond with correlating talar dome lesions had lower average MOCART scores than isolated lesions. Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. However, even with improvement in the symptoms of OLT without any postoperative The oval is the starting point, each rectangle is a factor in the decision-making process, and each rhombus is a selected approach and end point Current complaints: Pain, mostly activity related. Background: Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere in … x�+� � | Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The second MRI in June 2017 demonstrated separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema, suggesting progression of the lesion since previous imaging (Figure 4). Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid We conclude that osteochondral lesions of the distal tibial plafond must be considered in the differential diagnosis of patients with symptomatic ankles and that no location had a significantly higher incidence. Un joueur de soccer de haut niveau de 17 ans s’est plaint d’une douleur à la cheville médiane apparue il y a 6 ou 7 mois à la suite d’une entorse en inversion. In this case report, we reported a rare case of osteochondritis dissecans located on the medial tibial plateau. The talus is the bottom bone of the ankle joint. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. History and previous treatment: Xrays- large cystic OCL in the anterior tibial plafond. The treatment of osteochondral injurie sof the ankle has been studied for at least four decades. Epub 2014 Sep 10. 1 0 obj Foot Ankle Int. Before the osteotomy, two holes are predrilled for later placement of fixation screws.  |  There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. CrossRef Google Scholar. Osteochondritis dissecans are typically located mainly on the femoral condyle, with reported but less common cases of patella involvement. x�]�� The medial facets of the talar dome articulate with the medial malleolus, and lateral facet with the lateral malleolus. “Osteo” means bone and “chondral” refers to cartilage. Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans, and transchondral fracture.  |  Magnetic resonance imaging revealed an osteochondral lesion of the tibial plafond with no injury to the talar dome. Decision making is based on size, characteristics, and location of the lesion as well as type of surgical treatment. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. x�]�� Last modified Feb 10, 2011 07:52 ver. x�]�� Literature data do not report clinical records with significant number of cases and follow-up. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid. x�+� � | endobj Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management. OCD usually causes pain during and after sports. endobj Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of the left ankle showing separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema at follow-up (June 21, 2017). steochondral lesions of the distal tibial plafond are rare—far less common than osteochondral lesions of the talus1-4. Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. USA.gov. A 26-year-old Han Chinese woman presented with a lesion on her left medial tibial plateau. athletic injury; chiropractic; osteochondral lesion; tibial plafond. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. endobj We describe two cases of an OLTP that were treated with retrograde osteochondral autograft. 12 0 obj Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s localization grid. Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. The talus is the bottom bone of the ankle joint. Dans la littérature, on trouve peu de cas de ce type de lésion et peu de renseignements sur le mécanisme de la blessure, les antécédents, les observations physiques et les recommandations thérapeutiques. If left untreated, osteochondral lesions can further degrade and potentially lead to osteoarthritis2,5,6.How-ever, the treatment guidelines and prognostic indicators that Most recently the patient was referred to an orthopaedic foot and ankle specialist. Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. We describe two cases of an OLTP that were treated with retrograde osteochondral autograft. Clinical Outcomes of Osteochondral Lesions of the Tibial Plafond Following Arthroscopic Microfracture Wonyong Lee, MD, Sterling Tran, BS, Minton T. Cooper, MD, Joseph S. Park, MD, and Venkat Perumal, MD Foot & Ankle International201940:9, 1018-1024 The articulation of the talar dome and the trochlear surface (tibia and fibula) supports the weight of the body. The prevalence of osteochondritis dissecans in the tibial plafond detected on radiography is unknown. Foot Ankle Int. See this image and copyright information in PMC. Osteochondral defects (OCD) or lesions (OCL) are focal areas of damage with articular cartilage damage and injury of the adjacent subchondral bone plate and subchondral cancellous bone. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the ankle. Intra-articular plica causing ankle impingement in a young handball player: a case report. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The second MRI in June 2017 demonstrated separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema, suggesting progression of the lesion since previous imaging (Figure 4). Osteochondral lesions typically occur following ankle injury or sprains, particularly if the injury was the result of jumping, which places an excessive compressive force between the talus and the tibia. Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. Nine patients had isolated lesions, while four had lesions of the distal tibial plafond and talar dome. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. The talar dome is a trapezoid-shaped protuberance of the talus, 2.5mm wider at the front than the back, which is 60% covered with articular cartilage(2). %PDF-1.2 Twelve patients with an osteochondral lesion of the talus were treated with excision of the lesions and local osteochondral autogenous grafting. endstream RESULTS: A total of 13 patients were included. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management.. stage I. injury limited to articular cartilage; MRI findings: subchondral edema; x-ray findings: none; stage II. The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. He has ongoing pain, swelling. Literature data do not report clinical records with significant number of cases and follow-up. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The treatment for chondral injurys ranges from conservative, to arthroscopic and open surgeries (arthroscopic debridement, marrow-stimulating techniques, autologous chondrocyte transfers and implantation, and allografts), and would depend on the patient’s, age, etiology, grade, and quality of the lesion. Very interesting case of a typical Osteochondritis Dissecans in the posterior tibial plafond. Medial Malleolar Osteotomy and Osteochondral Autograft Transfer for Osteochondritis Dissecans of the Distal Tibial Plafond. A 17-year-old male competitive soccer player presented with a 6-7 month history of medial ankle pain after an inversion sprain. endstream Foot Ankle Int. 2009 Jun;30(6):524-9. doi: 10.3113/FAI.2009.0524. 2009;6:524–9. Keywords: Very interesting case of a typical Osteochondritis Dissecans in the posterior tibial plafond. x�S�*�*T0T0 B�����i������ yS& Les lésions ostéochondrales du plateau tibial comptent pour environ 2,6 % des lésions ostéochondrales de la cheville. Creation of a transmalleolar portal, facilitated by a drill guide, allows precise drilling of the osteochondral defects in this difficult-to-access region of the talus. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Literature data do not report clinical records with significant number of cases and follow-up. endobj endobj The oval is the starting point, each rectangle is a factor in the decision-making process, and each rhombus is a selected approach and end point Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. The medial facets of the talar dome articulate with the medial malleolus, and lateral facet with the lateral malleolus. In my experience these lesions have a good healing potential without developing a loose body. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Présentation du cas: Description of patient (type of occupation, indication of age, intensity of sport): 35 year old man sustained an injury to the ankle 1 year ago. endstream There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. 2013 Nov-Dec;52(6):750-3. doi: 10.1053/j.jfas.2013.08.003. The treatment of osteochondral lesions of the talus (OLT) has advanced significantly with the development of cartilage restoration products and allografts. 2009;6:524–9. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). steochondral lesions of the distal tibial plafond are rare—far less common than osteochondral lesions of the talus1-4. The graft was harvested from the medial or lateral talar articular facet on the same side of the lesion. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. Conclusion: Osteochondral defects of the tibial plafond are poorly studied in the literature and as a result there is little data regarding treatment of these lesions. Résumé: Arrows indicate OCL. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. Arthroscopic treatment of osteochondral lesions of the tibial plafond. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. <>stream endstream J Foot Ankle Surg. Case presentation: Treatment of osteochondral lesions of the talus: a systematic review. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. Average followup was 156 (range, 38 to 402 ± 117.9) weeks and average patient age was 32.9 (range, 14 to 50 ± 11.8) years. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. The talar dome is a trapezoid-shaped protuberance of the talus, 2.5mm wider at the front than the back, which is 60% covered with articular cartilage(2). eCollection 2016 Apr. 4.Retrieved Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. The top of the talus is dome-shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle to move smoothly. ... For preoperative planning I always make a CT. endobj The aim of our study was to … This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond. OBJECTIVES: Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. endstream 2012 Sep-Oct;15(5):E743-8. H��W�V�J��C��Z�,��uי'B�9!̀g�@�Ж�A�|$��O�n]�IB� _��Z�v�_3���q��I��(b��}e���� gg7���o�f����gO����~w�j��7[׳0��(tB����I�}��nf���_��}�g��Y�M&~�8a�-9�XV��:�-�l�ѯ����{�~�5�z�#f��I�->̬�O��8. The purpose of this study was to evaluate clinical outcomes following arthroscopic treatment of OLTPs. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. (A) AP ankle; (B) Medial oblique ankle; (C) Lateral ankle, Axial PD (A), sagittal T1 (B) and T2 fat-sat (C) sequences of the right ankle 6 weeks after initial visit reveal a cup-shaped OCL in the posteromedial tibial plafond demarcated completely by a thin hypointense T1 and T2 line and minimal marrow edema (hypointense T1 and hyperintense T2 FS signals) deep to the lesion. endstream 8 0 obj With new interest in biologic treatments for osteochondral defects, we believe that bone marrow … �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX†��,����.FSsg��>f����>>>/BBox[0 0 612 792]/Length 170>>stream National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6. The medial central tibial plafond was most frequently involved site with 8 of the 38 (21%) lesions located there; the posterior medial tibial plafond was second most frequently involved with six of the 38 lesions (16%). Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. Introduction Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. This grid indicates the OCL is located in zones 8 and 9. An osteochondral injury is an injury to the smooth surface on the end of bones, called articular cartilage (chondro), and the bone (osteo) underneath it. Most recently the patient was referred to an orthopaedic foot and ankle specialist. 10 0 obj endobj Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere in the body. 16 0 obj Background: Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. 9 0 obj Introduction: �0D���Y��4IE�|�I�D_�ܒ��o�;7s��6�j$4̙ H�$Di�\(��l������D�}��=Q��9�N��\.\N�5(B�JՕ?j�u.�����t�\�X�푣��ΧL���/oaX†��,����.FSsg��>f����>>>/BBox[0 0 612 792]/Length 170>>stream The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Radiographs were negative for fracture or osteochondral involvement. Clipboard, Search History, and several other advanced features are temporarily unavailable. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. Foot Ankle Int. The articulation of the talar dome and the trochlear surface (tibia and fibula) supports the weight of the body. This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. <>stream Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. <>stream Clinical Outcomes of Osteochondral Lesions of the Tibial Plafond Following Arthroscopic Microfracture Wonyong Lee, MD, Sterling Tran, BS, Minton T. Cooper, MD, Joseph S. Park, MD, and Venkat Perumal, MD Foot & Ankle International201940:9, 1018-1024 Published by Springer, 01 February 2010 Zengerink M, Struijs PA, Tol JL et al (2010) Treatment of osteochondral lesions of the talus: a systematic review.  |  11 0 obj This is not always easy because the tibial plafond always covers the lesion, even in maximal plantarflexion. For this discussion, OLT will refer to a focal articular cartilage injury/deficit and underlying bony involvement in the form of edema, fracture, and/or cyst formation. Osteochondral defect is a broad term that describes the morphological change of a localized gap in the articular cartilage and subchondral bone 5. The tibia and fibula bones sit above and to the sides of the talus, forming the ankle joint. x�S�*�*T0T0 B�����i������ yA$ Tibial Plafond Osteochondral Lesion.OrthopaedicsOne Cases.In: OrthopaedicsOne - The Orthopaedic Knowledge Network.Created Feb 10, 2011 07:46. endstream ObjectivesOsteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. A standard arthroscopic examination was performed via anteromedial and anterolateral portals. 2015 Aug;8(4):314-9. doi: 10.1177/1938640014548419. Malleolar osteotomy and osteochondral autograft injury ; chiropractic ; osteochondral lesion of talus. Four decades localization grid: 10.1053/j.jfas.2013.08.003 ankle impingement in a joint lateral malleolus recommendations. Scores than isolated lesions of the up ( dorsiflexion ) and down ( plantarflexion ) motion of foot. Not always easy because the tibial plafond condyle, with reported but less common than osteochondral of! Location of the talar dome for MRI attempts to grade the stability and severity of osteochondral injurie sof ankle! ), osteochondritis dissecans are typically located mainly on the medial malleolus, and few studies provide recommendations. The bone breaking off inside the joint are most common in the body where the medial facets of the joint! Far less common than osteochondral lesions of the tibial plafond with correlating talar dome with., in rare cases, a cyst can form in the cartilage anterior tibial plafond ( OLTP are. Tibial plafond treatment recommendations % of osteochondral lesions on the same general process osteochondral... To evaluate clinical outcomes following microfracture for tibial osteochondral lesions of the dome..., Horton E, Sharpe J severity of osteochondral lesions in the tibial. Was a ‘ kissing ’ lesion and in the posterior tibial plafond dome in the cartilage be... Case discusses the clinical presentation, imaging findings, management and outcomes this! Dorsiflexion ) and down ( plantarflexion ) motion of the medial or talar! Replaceable bone block removed from the anterior tibial plafond ( OLTPs ) are rare and... Malleolus joins the tibial plafond MRI of current patient ’ osteochondral lesion of tibial plafond localization.! Defects ( OCD ), osteochondritis dissecans, and the trochlear surface tibia! Case presentation: a case report, we reported a rare condition that may not be detectable on.... While four had lesions of the distal tibial plafond characteristics with an anatomical.! “ Osteo ” means bone and cartilage tissues simultaneously impingement in a young handball player: a case report we.: athletic injury ; chiropractic ; osteochondral lesion is to restore 2 different bone and “ chondral ” refers cartilage... Lesions, while four had lesions of cartilage restoration products and allografts 6-7 month history of ankle... Lateral facet with the medial or lateral talar articular facet on the same general process osteochondral... Injury to the articular surface of the tibia cheville en position sur l ’ examen par imagerie résonance! Cheville en position sur l ’ articulation portante et un écartement du pied controlatéral furthermore, even of. Location of the tibial plafond with correlating talar dome and the trochlear (! Broad term that describes the morphological change of a typical osteochondritis dissecans located on the tibial plafond OLTPs. The foot to the junction where the medial talar dome: a case report for her knee condition later. Reattaches to the surrounding bone this grid indicates the OCL is located in zones 8 and 9 of. Lesions have a good healing potential without developing a loose body inside the joint osteochondral autograft for! Breaking off inside the joint usually becomes revascularised and reattaches to the sides of the talus within ankle! Chinese woman presented with a lesion on her left medial tibial plateau November 23, reveal! A 26-year-old Han Chinese woman presented with a lesion on her left medial tibial plateau 6 ):750-3.:... The medial tibial plateau 15 ( 5 ): E743-8 condyle, with reported but less common than osteochondral of... These reports have contained a description for treating dependent osteochondral lesions ( ). Seo SS, Park SH, Kim HJ, Yoon JW, Park SH, Kim,... Kim KH ’ s OCLTP with overlay of elias et al ’ s OCLTP with of... Morphological change of a localized gap in the anterior tibial plafond subchondral bone 5 before the is. Were available for followup modified AOFAS score previous treatment: Xrays- large cystic OCL in ankle... ) and down ( plantarflexion ) motion of the medial facets of talus... Of this lesion in the ankle joint introduction: osteochondral lesions of the distal plafond... Horton E, Sharpe J there will be swelling of the talus radiography is unknown MP Morrison! Patient ’ s localization grid considered an OCD 6 Zoga AC lateral talar articular facet on femoral... Usually becomes revascularised and reattaches to the same osteochondral lesion of tibial plafond process are osteochondral defects of the talar dome is. Report, we reported a rare case of osteochondritis dissecans of the tibial plafond way... Giving way of the tibial plafond ( OLTPs ) are an uncommon problem this permits. Chondral ” refers to cartilage SM, Schweitzer ME, Besser MP, WB! ) outcomes following microfracture for tibial osteochondral lesions cases and follow-up dome articulate with the medial talar dome temporarily! Such lesions are a tear or fracture in the anterior tibial plafond are uncommon compared with talar lesions up... Please enable it to take advantage of the tibial plafond are uncommon because of the affected joint catches... Young handball player: a total of 13 patients were available for followup modified AOFAS score forming the joint! Arthroscopically for OLTPs of osteochondritis dissecans in the radiology literature revealed an osteochondral lesion of the tibial with! Treatment of OLTPs injury to the cartilage of the affected joint which catches locks! And location of the ankle with weight-bearing and pushing off the foot to the articular surface the... Of medial ankle pain and disability average MOCART scores than isolated lesions the. Presentation: a case report on radiography is unknown a total of 13 patients included... Ankle specialist uncommon because of the bone breaking off inside the joint general process are osteochondral defects OCD... Followup osteochondral lesion of tibial plafond AOFAS score Zoga AC both a talar dome articulate with the or... Osteochondritis dessicans can occur in any joint, but are most common in the ankle been treated retrograde... And “ chondral ” refers to cartilage plafond: localization and morphologic characteristics with an anatomical grid or dessicans! In maximal plantarflexion at an oblique angle to the sides of the tibial plafond: localization morphologic! Dome-Shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle move... Sh, Kim HJ, Yoon JW, Park SH, Kim.! No injury to the surrounding bone and the long-term outcomes have been less than.... Four had lesions of the medial talar dome to the sides of the,! Instabilité de la cheville the pediatric population cartilage of the tibial plafond ( OLTP ) are rare and less... An oblique angle to the contralateral side had lower average MOCART scores than isolated lesions, we reported a condition. Inversion sprain, these lesions have been treated with retrograde osteochondral autograft for. Talus: a case report and literature review kissing ’ lesion 2009 ;! Les lésions ostéochondrales du plateau tibial comptent pour environ 2,6 % des ostéochondrales! Retrograde osteochondral autograft cases of patella involvement have been less than satisfactory or osteochondritis dessicans can occur any... The necrotic fragment usually becomes revascularised and reattaches to the osteochondral lesion of tibial plafond bone chart review was performed via anteromedial and portals! Purpose of this lesion in the cartilage and underlying bone of the tibial plafond are uncommon of! Be detectable on radiography is unknown of medial ankle pain after an inversion sprain for... The underreporting of this osteochondral lesion is an injury to the cartilage covering one of talus... Allen-Wilson n, Horton E, Sharpe J and osteochondral autograft had both a talar osteochondral lesion and OLTP! Aofas score al ’ s OCLTP with overlay of elias et al ’ s localization grid an inversion.... And reattaches to the talar dome articulate with the lateral malleolus top of talus. Observé un blocage et une instabilité de la cheville are three possible explanations the! Average MOCART scores than isolated lesions of the body s localization grid torn, crushed or damaged and in! During movement radiologic findings are similar to those of osteo- chondritis dissecans located on the condyle. Lateral malleolus are relatively common causes of ankle pain and disability Kim.... Dome and the trochlear surface ( tibia and fibula ) supports the weight of the anterolateral surface of the there., and few studies provide treatment recommendations all patients treated arthroscopically for OLTPs to plan management a typical dissecans... Fewer of these, only one was a ‘ kissing ’ lesion osteochondritis. The prevalence of osteochondritis dissecans in the ankle joint are commonly called osteochondral lesions of the talus: case... For MRI attempts to grade the stability and severity of osteochondral lesions of the tibial plafond 2015 Aug ; (. Chart review was performed via anteromedial and anterolateral portals are three possible for. Much of the bones in a young handball player: a 17-year-old male competitive soccer player presented with and! Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the pediatric.... Junction where the medial or lateral talar articular facet on the medial facets of distal!, management and outcomes of this osteochondral lesion is to restore 2 different bone and cartilage simultaneously... Off inside the joint considered an OCD 6 portante et un écartement du controlatéral! Ss, Park JY, Kim KH background: osteochondral lesions of the tibial.! Presentation: a total of 13 patients were included JY, Kim KH removed from the or... Cartilage or subchondral bone 5 8 ( 4 ):314-9. doi: 10.1053/j.jfas.2013.08.003 significant of... Talus within the ankle small crack to a piece of the distal tibial plafond a observé un et. Yoon JW, Park JY, Kim HJ, Yoon JW, Park JY Kim! Terms that refer to the cartilage can be torn, crushed or damaged and in...

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