Conservative Treatment for Juvenile Osteochondritis Dissecans of the Talus

Conservative treatment for juvenile osteochondritis dissecans of the talus.

PURPOSE To assess outcome of 6 juvenile patients with osteochondritis dissecans (OCD) of the ankle treated conservatively. METHODS Records of 4 males and one female aged 10.8 to 14.1 (mean, 12.3) years who underwent cast immobilisation and/or restriction of physical activities for OCD of the talus (4 on the left and 2 on the right) were reviewed. OCD lesions were graded using the Berndt and H...

Osteochondritis dissecans of the talus.

Osteochondritis dissecans (OCD) is an acquired idiopathic lesion of subchondral bone that can produce delamination and sequestration with or without articular cartilage involvement and instability. The cause of OCD is still debated: the most recognized etiology is the occurrence of repetitive micro-traumas associated with vascular impairment, causing progressive ankle pain and dysfunction in sk...

Fractures ( Osteochondritis Dissecans ) of the Talus

Treatment of juvenile osteochondritis dissecans of the talus: current concepts review.

Juvenile osteochondritis dissecans of the talus (JODT) affects the subchondral bone primarily and, in a skeletally immature population, articular cartilage secondarily. It probably consists of aseptic bone necrosis whose spontaneous healing is impaired by microtraumas, resulting in an osteochondral injury and, in some cases, in osteoarthritis. In many cases the clinical presentation is asymptom...

Treatment of osteochondritis dissecans.

It has been known for more than a decade that osteochondritis dissecans of the knee joint in children will heal with rest or even spontaneously (Decker 1938, Wiberg 1941, Strange 1944, Smillie 1946, Van Demark 1952, Green and Banks 1953). This capacity is lost with maturity and may not extend beyond adolescence (Wiberg 1943). Current treatment thereafter consists of symptomatic removal of the l...