![]() ![]() During this period of immobilization, nonweightbearing range-of-motion exercises may be recommended. Depending on the type of injury, the leg may be placed in a cast or cast boot to protect the talus. If the lesion is stable (without loose pieces of cartilage or bone), one or more of the following nonsurgical treatment options may be considered: Treatment depends on the severity of the talar dome lesion. X-rays are taken, and often an MRI or other advanced imaging tests are ordered to further evaluate the lesion and extent of the injury. Sometimes the surgeon will inject the joint with an anesthetic (pain-relieving medication) to see if the pain goes away for a while, indicating that the pain is coming from inside the joint. To diagnose this injury, the foot and ankle surgeon will question the patient about recent or previous injury and will examine the foot and ankle, moving the ankle joint to help determine if there is pain, clicking or limited motion within that joint. The signs and symptoms of a talar dome lesion may include:Ĭhronic pain deep in the ankle-typically worse when bearing weight on the foot (especially during sports) and less when restingĪn occasional clicking or catching feeling in the ankle when walkingĪ sensation of the ankle locking or giving outĮpisodes of swelling of the ankle-occurring when bearing weight and subsiding when at restĪ talar dome lesion can be difficult to diagnose because the precise site of the pain can be hard to pinpoint. Unless the injury is extensive, it may take months, a year or even longer for symptoms to develop. Sometimes a broken piece of the damaged cartilage and bone will float in the ankle. If the cartilage does not heal properly following the injury, it softens and begins to break off. Talar dome lesions are usually caused by an injury, such as an ankle sprain. “Osteo” means bone and “chondral” refers to cartilage. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The top of the talus is dome-shaped and is completely covered with cartilage-a tough, rubbery tissue that enables the ankle to move smoothly. If you have ankle pain or instability, call Hosey and Murphy Foot & Ankle Centers or make an appointment online today.The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. If necessary, your podiatrist might suggest surgery to remove loose debris from your ankle joint to improve the environment for optimal healing. For example, depending on your specific needs, your podiatrist might recommend: If you catch your talar dome lesion in its early stages, your podiatrist uses nonsurgical treatments to heal your joint. Then, they might order X-rays or MRIs to evaluate the location and severity of your talar dome lesion. Your podiatrist might also inject an anesthetic into your ankle to see if it temporarily relieves your pain, indicating that your pain is coming from inside your ankle. They review your medical history and ask for details about any foot or ankle injuries while moving your foot around to check for pain, reduced range of motion, or clicking sounds. However, the expert podiatrists at Hosey and Murphy Foot & Ankle Centers provide thorough exams. Talar dome lesions can be challenging to diagnose because it’s tricky to pinpoint the exact location of your pain. Why are talar dome lesions so challenging to diagnose? The earlier you start treatment for a talar dome lesion, the better chance you have of avoiding pain and surgery. If you notice any of these symptoms, make an appointment at Hosey and Murphy Foot & Ankle Centers. Feeling like your ankle locks or gives out.Occasional clicking or catching sensations when walking.Chronic pain inside your ankle that’s worse when you put weight on it.However, as your condition progresses, you might develop: In its early stages, a talar dome lesion doesn’t cause noticeable symptoms. What are the symptoms of a talar dome lesion? When the cartilage doesn’t heal correctly, it can soften and break off, and this in turn can cause debris to build up in your ankle joint, leading to further irritation. In most cases, talar dome lesions form after another ankle injury, like a sprain, when the cartilage doesn’t heal correctly. When that cartilage and the underlying bone are damaged, it’s called a talar dome lesion or an osteochondral defect. Your talus or ankle bone has a domed top, completely covered in cartilage. ![]()
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