link
Bookmarks
Osteochondral Injury, Ankle
Julia R. Crim, MD; Donna G. Blankenbaker, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
9
7
0

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Osteochondral lesion (OCL): Umbrella term for focal injury of articular cartilage and underlying bone
              • Does not imply age of injury
              • Osteochondral lesion of talus (OLT)
            • Osteochondral injury (or fracture): Usually reserved for acute OCL
            • Osteochondritis (or osteochondrosis) dissecans (OCD): Chronic OCL

          IMAGING

          • General Features

            • Radiographic Findings

              • Arthrography Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Savage-Elliott I et al: Osteochondral lesions of the talus: a current concepts review and evidence-based treatment paradigm. Foot Ankle Spec. 7(5):414-22, 2014
                                        2. Griffith JF et al: High-resolution MR imaging of talar osteochondral lesions with new classification. Skeletal Radiol. 41(4):387-99, 2012
                                        3. Linklater JM: Imaging of talar dome chondral and osteochondral lesions. Top Magn Reson Imaging. 21(1):3-13, 2010
                                        4. Elias I et al: Osteochondral lesions of the talus: change in MRI findings over time in talar lesions without operative intervention and implications for staging systems. Foot Ankle Int. 27(3):157-66, 2006
                                        5. Berndt AL et al: Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 86-A(6):1336, 2004
                                        6. Mintz DN et al: Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 19(4):353-9, 2003
                                        7. Higashiyama I et al: Follow-up study of MRI for osteochondral lesion of the talus. Foot Ankle Int. 21(2):127-33, 2000
                                        8. De Smet AA et al: Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol. 154(3):555-8, 1990
                                        Related Anatomy
                                        Loading...
                                        Related Differential Diagnoses
                                        Loading...
                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Osteochondral lesion (OCL): Umbrella term for focal injury of articular cartilage and underlying bone
                                                    • Does not imply age of injury
                                                    • Osteochondral lesion of talus (OLT)
                                                  • Osteochondral injury (or fracture): Usually reserved for acute OCL
                                                  • Osteochondritis (or osteochondrosis) dissecans (OCD): Chronic OCL

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Arthrography Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Savage-Elliott I et al: Osteochondral lesions of the talus: a current concepts review and evidence-based treatment paradigm. Foot Ankle Spec. 7(5):414-22, 2014
                                                                              2. Griffith JF et al: High-resolution MR imaging of talar osteochondral lesions with new classification. Skeletal Radiol. 41(4):387-99, 2012
                                                                              3. Linklater JM: Imaging of talar dome chondral and osteochondral lesions. Top Magn Reson Imaging. 21(1):3-13, 2010
                                                                              4. Elias I et al: Osteochondral lesions of the talus: change in MRI findings over time in talar lesions without operative intervention and implications for staging systems. Foot Ankle Int. 27(3):157-66, 2006
                                                                              5. Berndt AL et al: Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 86-A(6):1336, 2004
                                                                              6. Mintz DN et al: Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 19(4):353-9, 2003
                                                                              7. Higashiyama I et al: Follow-up study of MRI for osteochondral lesion of the talus. Foot Ankle Int. 21(2):127-33, 2000
                                                                              8. De Smet AA et al: Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol. 154(3):555-8, 1990