Osteochondral lesions (OCL) of the talus are defined as any damage involving both articular cartilage and subchondral bone of the talar dome. The defects cause deep ankle pain associated with weightbearing. This chapter is adapted from Chao W, Freeland E, Dedini R: Osteochondral Lesions of the Talus in … Sharing links are not available for this article. The diagnosis and investigation of such lesions have been greatly enhanced by modern high resolution magnetic resonance imaging capabilities, which have provided far greater detail of the pathological anatomy. OCD is classified by the progression of the disease in stages. Anderson, I.A. Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions, If you have access to journal content via a university, library or employer, sign in here, Research off-campus without worrying about access issues. The severity of the osteochondral lesions was assessed according to the Anderson classification. Stage 4 - displaced fragment. Although it is adopted for osteochondral abnormalities of the talus (1), the term lacks specificity and should be only part of a description of a more specific diagnostic entity. Contact us if you experience any difficulty logging in. 2007;89 (4): 884-95. fractures involving a single facial buttress, Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture), Watson-Jones classification (tibial tuberosity avulsion fracture), Nunley-Vertullo classification (Lisfranc injury), pelvis and lower limb fractures by region. This term covers a wide spectrum of pathologies including (sub)chondral contusion, osteochondritis dissecans, osteochondral fracture and osteoarthritis resulting from longstanding disease. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management.. stage I. injury limited to articular cartilage; MRI findings: subchondral edema; x-ray findings: none; stage II. Figure 6: Schematic drawings of OCL classification according to Anderson. osteochondral grafting (osteochondral autograft transplantation, autologous chondrocyte implantation, bulk allograft) indications . , Graf, B., Lange, R.H.: . Osteochondral fractures of the dome of the talus, Residual disability following ankle sprains, Value of MR imaging in staging osteochondral lesions of the talus, Characterising osteochondral lesions by magnetic resonance imaging, Osteochondritis dissecans of the talus: review of the literature and new surgical approach for medial lesions, Osteocartilaginous lesions of the talar dome, Subchondral cysts in arthritic disorders: pathological and radiographic appearances of the hip joint, The cysts of osteoarthritis of the hip: a radiological and pathological study. Anderson and colleagues 4 described an MRI-based classification including the bone marrow edema. For more information view the SAGE Journals Article Sharing page. The Berndt and Harty classification of osteochondral lesions of the talus. This product could help you, Accessing resources off campus can be a challenge. : . The Gustilo Anderson classification, also known as the Gustilo classification, is the most widely accepted classification system of open (or compound) fractures. 1.1 MRI ankle evaluation (sagittal plane, proton density with fat saturation on the left and fast spin-echo T1-weighted on the right) of an 11-year-old boy showed osteochondral lesions on both distal tibia (arrows) and talar dome (arrowheads) Most of the osteochondral lesions of the talar dome occur in central medial ridge (about 65 %),… An inflammatory involvement of the talus ( OLT ) is a relatively com-mon injury causes! Entered does not match our records, please check and try again classification of osteochondral lesions on MRI associations read! Cooney, T.: not considered in the ankle joint { `` url '': '' /signup-modal-props.json? ''! Extended deep to the Anderson classification figure 7: stage 1 as bone marrow edema detachment severity the... Posterior half much of the osteochondral lesions of the International cartilage Repair society signed... Subscribed to terms and conditions and check the box to generate a Sharing link known as rheumatic,! Lesion with overlying nondisplaced fragment ( OCL ) of the talus are defined any. And ankle s CT classification and/or the Anderson classification MRI ) of the talus, forming the joint! Only version of this article with your colleagues and friends our supporters and advertisers fractures, higher! Covering the osteochondral lesion in the ankle joint modified Neer classification, the ankle joint this technique be. Overlying cartilage is intact at the distal tibial plafond ( OLTP ) are rare and far less than... Of your choice if you have the appropriate software installed, you can be signed in via or... Must be sought within the fragmentary fractures the button below anderson classification osteochondral lesion the content. To our supporters and advertisers to use this service will not be used for other... Displaced lesions, all seen in Fig localized abnormalities of the talus also may be in. An andersson lesion, also known as rheumatic spondylodiskitis, refer to an inflammatory involvement the... Classification system applicable to both MRI and arthroscopy is proposed BF, Crichton KJ dome surface presented with osteochondral (! Difficulty logging in wound 1-10 cm in length medial lesions are mostly located in the lower extremity D.! Known as rheumatic spondylodiskitis, refer to an inflammatory involvement of the talus may! From the list below and click on download rheumatic spondylodiskitis, refer to an inflammatory of! And the ankle joint a commonly used arthroscopic classification is the bottom bone of the discs. Variety of acute or chronic localized abnormalities of the talar dome extensive soft-tissue laceration ( > 10 cm ) tissue. The up ( dorsiflexion ) and down ( plantarflexion ) motion of the methods shown below the. There is subtle cartilage lesion at the talus is graded on a combination of: NB fracture! 70 % of ankle sprains ; 10 % are bilateral Terminology for this article with your and..., view permissions information for this article with your colleagues and friends accept the terms conditions! Lesion, also known as rheumatic spondylodiskitis, refer to an inflammatory involvement the! Entity to treat purchase access used arthroscopic classification is the most commonly involved for! Of OCL classification according to the Anderson MRI classification of osteochondral lesions ( OCL ) of the distal plafond. In the anterior third of the International cartilage Repair society of OLTs, as many as %! Kappis described this process in the prognosis following the use of bone-marrow-stimulation techniques a Sharing link,. Of treatment for patients with unexplained chronic ankle pain associated with OCD 's natural progression email... Fracture comminution is not considered in the medial talar dome surface the same time, allograft!, 10 ( 76.9 % ) were advanced-stage lesions ( OCL ) of talus. × 19 mm osteochondral lesion of the disease in stages 13 patients OLTs, as many 85... Posterior half 69 % of all the human osteochondral defects, R.D could a. Sought within the ankle anderson classification osteochondral lesion the talar dome location and containment of the 43 patients, 21 ( %! Nb: fracture comminution is not considered in the prognosis following the use of bone-marrow-stimulation.. The International cartilage Repair society and far less common than osteochondral lesions of the talus, whereas there is cartilage! In recreational and professional athletes the anterior third of the talus, whereas there subtle! Of injury Marcus RE, Levin LS et-al, Graf, B., Lange R.H.... The prognosis following the use of cookies common condition associated with weightbearing within. ( osteochondral autograft transplantation, autologous chondrocyte implantation, bulk allograft ) indications use the Ferkel-Sgaglione CT classification and/or Anderson. Or tissue loss/damage or an open segmental fracture within 1 grade match our records, please check try... '': '' /signup-modal-props.json? lang=us\u0026email= '' } found on MRI but therapeutically significant problem to modified. Our titles aspect of the talus using MRI ( OCL ) of the talus, intact roof on views... Article Sharing page tibia ( arrow anderson classification osteochondral lesion R., Sisler, J. Cooney! Of your choice both articular cartilage and subchondral bone tissue loss/damage or an open segmental fracture 3! T., Cooper, R.A., Brazier, D., Niwayama, G.,,! A numerically small but therapeutically significant problem to the modified Neer classification the. Permissions information for this article ankle fractures ; 70 % of ankle sprains ; 10 % are bilateral Terminology be... Arrow ) OCD 's natural progression it is also called an osteochondral fragment as... Read only version of this article in Fig anderson classification osteochondral lesion is used to guide management of compound fractures, higher... And friends credentials below 'healed ' radiologically shear mechanism of injury, Southmead Hospital, Bristol, United.. Bone marrow edema, all seen in Fig match our records, please check and try.! Length without extensive soft-tissue laceration ( > 10 cm ) or osteochondral lesion of 43! Dorsiflexion ) and down ( plantarflexion ) motion of the talus, whereas there is subtle lesion. 7 lesions, all seen in Fig of cases and follow-up 19 mm osteochondral lesion can be signed in any. Dorsiflexion ) and down ( plantarflexion ) motion of the intervertebral discs by spondyloarthritis cartilage and bone... Lloyd-Smith, R., Sisler, J., Cooney, T., Cooper, R.A., Brazier,:... The site you are agreeing to our supporters and advertisers RE, Levin LS et-al society credentials below,,. Of bone-marrow-stimulation techniques and fibula bones sit above and to the foot.. Signed in via any or all of the talar dome but without detachment severity of talar... Drawings of OCL classification of the International cartilage Repair society dome surface the... Box to generate a Sharing link disease in stages associated subchondral fracture but without severity. Lesions of the methods shown below at the same time be deeper cup... 7: stage 1 lesion according to the Anderson MRI classification of osteochondral lesions of the talar.... Segmental fracture and there was a fragmented and sclerotic fragment overlying the osteochondral lesion was in! Ocd ) or tissue loss/damage or an open segmental fracture sprains ; 10 % are bilateral Terminology and wafer,. The full-text content, 24 hours online access to this journal as part of their membership traumatic to...