Osteochondral Lesions of the Talus: Etiology, Clinical Presentation, Treatment Options, and Outcomes

Abstract

This article reviews the etiology, clinical presentation, classification schemes, and treatment options for osteochondral lesions of the talus. These lesions typically occur after a traumatic injury and are best diagnosed on MRI. Asymptomatic lesions and incidentally found lesions are best treated conservatively; however, acute displaced osteochondral fragments may require surgical treatment. Lesion characteristics may dictate surgical technique. Outcomes following surgical treatment may be impacted by patient age, BMI, and lesion characteristics.

Keywords: OLT; OLT treatment; Osteochondral lesion; Subchondral; Talus.