Osteochondritis dissecans of the talus: diagnosis and treatment in athletes

Clin Sports Med. 2014 Apr;33(2):267-84. doi: 10.1016/j.csm.2014.01.003.


Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Osteochondral lesions of the talus can be associated with injury to the ankle. This article discusses the anatomy, pathoanatomy, history, physical examination, imaging, management algorithm, and outcomes of surgical treatment of osteochondral lesions in these patients. This article also presents the authors' recommended surgical technique.

Keywords: Osteochondral fracture; Osteochondral lesion; Osteochondritis dissecans; Talus.

Publication types

  • Review

MeSH terms

  • Adult
  • Athletic Injuries / complications
  • Athletic Injuries / therapy
  • Autografts
  • Female
  • Fractures, Bone / complications
  • Fractures, Bone / surgery
  • Humans
  • Male
  • Osteochondritis Dissecans / diagnostic imaging
  • Osteochondritis Dissecans / etiology
  • Osteochondritis Dissecans / surgery
  • Osteochondritis Dissecans / therapy*
  • Radiography
  • Talus* / injuries