Was wondering if anyone on this forum might have had an experience with osteochondral lesions of the talus(ocd). I know everyones cases are different, but was curious about methods of treatment used, surgery options, recovery time with or without surgery, and any other advice or info one can provide. I am trying to get enough info to make a very hard decision about treatment(surgery?) and really want to continue as a triathlete. Thanks and Happy Holidays and training.
osteochondral lesions of the talus(ocd)
There’s another condition with the abbreviation ocd? I thought it was obsessive compulsive disorder.
i have never heard of this (I know what the talus is). So what are your symptoms? What’s the condition?
Maybe RRoof will chime in with some expertise. I wish you the best. (((hugs)))
Way too many variables to provide any meaningful info since many talar OCDs are an incidental finding and largely asymptomatic. Surgery varies just as much from simple ankle arthroscopy to open surgery with medial malleolus osteotomy and extended recovery. Definitely best to discuss with your surgeon - and get a few opinions. You can google “Berndt & Hardy classification” that lead you to some good reading.
I agree completely with Rod - there are some medical topics that are OK for message board treatment discussions, but these are tricky. Occasional incidental finding, occasionally traumatic, occasionally congenital, occasionally non-traumatically acquired. Way too many variables. I see about 1 a month. Our ankle surgeon probably sees 20 a month. I bet Rod is in the middle.
If you have a specific question, PM me and I would be happy to help.
Andy
Symptomatic or not?
CT or MRI done?
If so, size of the OCD lesion? (Christensen’s study of residual joint surface pressures suggest a lesion >1cm carries a worse long-term prognosis.)
Intra-articular local anesthetic injection to confirm temporary resolution of pain?
Never had Osteochondral lesions of the talus, though I had one on my big toe. i know, not the same thing, but i never get to talk about it. I ran on it (high school xc) had surgery right after the season, and was running again in 6 weeks, no problems whatsoever since then, although i chose to have my nail permanent removed because it wouldn’t grow in right.
Will - you likely had an osteochondroma, a benign bone tumor, that is not unncommon on the distal phalanx of the great toe near the nail. Not at ALL similar to an osteochondral defect (a focal problem area of cartilage in a joint). Does that sound more familiar? Thanks for the reply regardless.
yep, exactly what i had. like i said, never get to talk about it so ill bring it up even if its irrelevent, there should probably be a support group,lol.