Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Les radiographies n’ont révélé aucune fracture ni aucune atteinte ostéochondrale. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage. 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. 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. BACKGROUND: Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. Lesions affecting the cartilage of the tibial plafond are uncommon because of the biomechanical characteristics of the tibia. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. steochondral lesions of the distal tibial plafond are rare—far less common than osteochondral lesions of the talus1-4. Osteochondral autograft transfer for post-traumatic osteochondral defects of the anterolateral surface of the distal tibial plafond. ObjectivesOsteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Isolated lesions of cartilage or subchondral bone are not considered an OCD 6. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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/. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. An algorithm for the approach to osteochondral lesions of the medial talar dome. 2012 Sep-Oct;15(5):E743-8. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. 2012;33(8):662–8. The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. Generally, these lesions have been treated with either microfracture or debridement, and the long-term outcomes have been less than satisfactory. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. He has ongoing pain, swelling. COVID-19 is an emerging, rapidly evolving situation. 2009;6:524–9. endstream 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 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). endobj This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. This grid indicates the OCL is located in zones 8 and 9. Introduction: Most recently the patient was referred to an orthopaedic foot and ankle specialist. 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. The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. The ideal treatment for osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). OCD usually causes pain during and after sports. This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond. endobj The graft was harvested from the medial or lateral talar articular facet on the same side of the lesion. Présentation du cas: There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. Current complaints: Pain, mostly activity related. 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. Lesions ( OCLs ) of the tibial plafond are uncommon compared with talar.. 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