An osteochondral lesion of the talus, often called an OCD lesion, is an injury to the cartilage and the bone under the cartilage of the talus (the bone below the ankle) within the ankle joint.
Signs and symptoms of an osteochondral lesion of the talus
The injury can occur after a patient sprains his or her ankle, but the injury is often missed. If a patient continues to have pain, a physician might order x-rays that show the lesion. Occasionally a CT scan or MRI can show the lesion as well.
Treatment of an OCD lesion of the talus
Several factors influence the treatment of these lesions, including the size, location and whether the fragment is displaced. Sometimes the lesion can be treated nonoperatively with immobilization and limitation of weight bearing. If the fragment is displaced, surgery is usually required.
Depending on the nature of the lesion, the surgeon might scope the ankle and drill the lesion or perform a microfracture of it. In other cases, the surgeons might transfer a cylinder of bone and cartilage from the patient (osteochondral autograft) or from a donor (osteochondral allograft) might be needed.
Recommended Products and Resources
Click here to go to Dr. David Geier’s Amazon Influencer store!
Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.