Resident Resources-Osteochondral Lesions of the Talus

Video Transcription

Video Summary

The video transcript discusses various aspects of osteochondral lesions in the ankle. It mentions that these lesions can occur due to acute or remote trauma, with ankle sprains and fractures being common causes. Other factors, such as repetitive microtrauma, genetic predisposition, osteonecrosis, vascular dysfunction, alcohol abuse, and lower limb malalignment, can also contribute to these lesions. The video emphasizes the difference between osteochondritis desiccans, osteochondral lesions of the talus, and fractures. It explains that medial lesions are more common and associated with lateral ankle instability, while lateral lesions are more likely to be associated with acute trauma. Symptoms include chronic ankle pain, swelling, catching, grinding, clicking, and the feeling of ankles giving way. Conservative treatment is recommended initially, but operative intervention may be necessary for symptomatic and unstable displaced acute fragments. Different treatment methods are discussed, including microfracture, debridement, ORIF, and grafting procedures. The video also mentions potential complications and access points for surgical procedures. No credits are mentioned in the transcript.

Meta Tag

Year 2013

Keywords

osteochondral lesions

ankle

acute trauma

ankle sprains

fractures