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Isolated lesions of cartilage or subchondral bone are not considered an OCD 6 . The signs and symptoms of a talar dome lesion may include: Chronic pain deep in the ankle—typically worse when bearing weight on the foot (especially during sports) and less when An occasional “clicking” or “catching” feeling in the ankle when walking A … The mean inclination angle of the talar dome was 9.86 ± 3.30 degrees. Gender variation was found in this parameter. The mean inclination and deviation angles were 8.60 ± 0.07 and 0.76 ± 0.69 degrees for the dorsiflexion axis and -7.34 ± 0.07 and 0.09 ± 0.18 degrees for the plantarflexion axis. Talar dome lesion refers to an injury to the surface of the bone in the ankle joint, the Talus.

It forms the “floor” of the ankle joint. It derives the name "dome" because it sits cradled on top of the calcaneus with the top portion of the bone forming a dome like structure to allow for the up and down motion of the foot. Talar dome lesions generally involve either the superomedial or superolateral corners of the talus. Compared with lateral lesions, injuries involving the medial talar dome are less likely to be associated with trauma and are less likely to do well with surgical treatment.

OLTs have been known historically by varied nomenclature, including osteochondritis dissecans, talar dome … Radiographs may reveal malleolar fractures, talar dome fractures or disruption of the ankle syndesmosis.

A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). “Osteo” means bone and “chondral” refers to cartilage. Talar dome lesions are usually caused by an injury, such as an ankle sprain.

However, little data exist describing the precise anatomy of the talar dome and the talocrural joint axis. Small lesions of the talar dome may be present despite a normal appearance on plain radiography. Bone scintigraphy may show increased radionuclide uptake in the talar dome. Magnetic resonance imaging is also sensitive for identifying intraosseous abnormalities in the talus and has the added benefit of revealing other types of soft-tissue lesions not visible on routine radiographic studies.

2021-01-15

OLTs have been known historically by varied nomenclature, including osteochondritis dissecans, talar dome … Radiographs may reveal malleolar fractures, talar dome fractures or disruption of the ankle syndesmosis.

To diagnose this injury, the foot and ankle surgeon will question the patient about recent or previous injury and will examine the foot and ankle, moving the … 110 Acta Orthop Scand 1994; 65 (1 ): 1 10-1 12 Osteochondral lesions of the talar dome in children A 24 (7-36) year follow-up of 13 cases Jens U Wester', Ib E Jensen2, Finn Rasmussen2, Steen Lindequist* and Kim Schantz' 13 patients who in childhood had osteochondral mary lesion could still be seen as an osteochondral lesions (OCL) of the talar dome participated in a long- defect, and 2 had a Fig. 1.1 MRI ankle evaluation (sagittal plane, proton density with fat saturation on the left and fast spin-echo T1-weighted on the right) of an 11-year-old boy showed osteochondral lesions on both distal tibia (arrows) and talar dome (arrowheads) Most of the osteochondral lesions of the talar dome … The talar dome is the upper part of the foot bone (talus) which joins with the leg bones and forms the lower half of the ankle joint. The dome is made of bone (osteo-) and is covered with a layer of cartilage (-chondral).
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6, and 9 cases, respec- tively.

The anteromedial accessory portal can be established if needed to access lesions on the medial talar dome. (Figure 3B).
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A talar dome lesion can be difficult to diagnose because the precise site of the pain can be hard to pinpoint. To diagnose this injury, the foot and ankle surgeon will question the patient about recent or previous injury and will examine the foot and ankle, moving the ankle joint to help determine if there is pain, clicking or limited motion within that joint.

The mean inclination and deviation angles were 8.60 ± 0.07 and 0.76 ± 0.69 degrees for the dorsiflexion axis and -7.34 ± 0.07 and 0.09 ± 0.18 degrees for the plantarflexion axis.

At radiography, talar AVN typically manifests as an increase in talar dome opacity (sclerosis), followed by deformity and, in severe cases, articular collapse and bone fragmentation. At any stage of this sequence, the radiographic findings can vary depending on differences in the vascular status of the talus and the degree of bone repair.

Signs & Symptoms.

Foot inversion with ankle dorsiflexion; Direct Trauma between talus and fibula. Medial Talar Dome The talar dome is the upper part of the foot bone (talus) which joins with the leg bones and forms the lower half of the ankle joint. The dome is made of bone When an injury occurs to the cartilage and underlying bone of the talus within the ankle joint it is called a talar dome lesion.