Osteochondral Lesions of the Talus

Question 1

Osteochondral lesions of the talus are more common medially or laterally?

Answer 1

Medial talar dome, usually non traumatic

Lateral talar dome lesions are usually d/t trauma

Question 2

What is the treatment for osteochondral lesion of the talus?

Answer 2

NWB in cast for small non-displaced lesions
Arthroscopic debridement for small or chronic fractures
Can also offer ORIF and drilling of lesion