Abstract
Osteochondral lesions are frequent in sports like soccer. In the Mutualitat de Futbolistes which is the Catalan Soccer Delegation’s Health Insurance Company under the umbrella of the Royal Spanish Football Federation, we have been able to collect data on osteochondral lesions for over 20 years. There are several treatment options, and in this article, we describe arthroscopic debridement with the association of biologic therapies, such as the use of plasma rich in growth factors. The return-to-sport statistics are high, with more than 80 % excellent results in clinical scores, and we review the literature regarding osteochondral lesions.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Backus JD, Viens NA, Nunley JA (2012) Arthroscopic treatment of osteochondral lesions of the talus: microfracture and drilling versus debridement. J Surg Orthop Adv 21(4):218–222
Badekas T, Takvorian M, Souras N (2013) Treatment principles for osteochondral lesions in foot and ankle. Int Orthop 37(9):1697–1706
Barnes CJ, Ferkel RD (2003) Arthroscopic debridement and drilling of osteochondral lesions of the talus. Foot Ankle Clin 8(2):243–257
Burns J, Rosenbach B (1989) Osteochondrosis dissecans of the talus. Results of a follow-up study. Z Orthop Ihre Grenzgeb 127(5):549–555
Caylor MT, Pearsall AW 4th (2002) Fresh osteochondral grafting in the treatment of osteochondritis dissecans of the talus. J South Orthop Assoc 11(1):33–37
Fong DT, Hong Y, Chan LK et al (2007) A systematic review on ankle injury and ankle sprain in sports. Sports Med 37(1):73–94
Giannini S, Buda R, Battaglia M et al (2013) One-step repair in talar osteochondral lesions: 4-year clinical results and t2-mapping capability in outcome prediction. Am J Sports Med 41(3):511–518
Giannini S, Vannini F, Buda R (2002) Osteoarticular grafts in the treatment of OCD of the talus: mosaicplasty versus autologous chondrocyte transplantation. Foot Ankle Clin 7(3):621–633
Giza E, Sullivan M, Ocel D et al (2010) Matrix-induced autologous chondrocyte implantation of talus articular defects. Foot Ankle Int 31(9):747–753
Gobbi A, Francisco RA, Lubowitz JH et al (2006) Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation. Arthroscopy 22(10):1085–1092
Grady J, Hughes D (2006) Arthroscopic management of talar dome lesions using a transmalleolar approach. J Am Podiatr Med Assoc 96(3):260–263
Hangody L (2003) The mosaicplasty technique for osteochondral lesions of the talus. Foot Ankle Clin 8(2):259–273
Hankemeier S, Müller EJ, Kamisnski A et al (2003) 10-year results of bone marrow stimulating therapy in the treatment of osteochondritis dissecans of the talus. Unfallchirurg 106(6):461–466
Hembree WC, Wittstein JR, Vinson EN et al (2012) Magnetic resonance imaging features of osteochondral lesions of the talus. Foot Ankle Int 33(7):591–597
Junge A, Dvorak J (2004) Soccer injuries: a review on incidence and prevention. Sports Med 34(13):929–938
Kumai T, Takakura Y, Higashiyama I et al (1999) Arthroscopic drilling for the treatment of osteochondral lesions of the talus. J Bone Joint Surg Am 81(9):1229–1235
Lee CH, Chao KH, Huang GS et al (2003) Osteochondral autografts for osteochondritis dissecans of the talus. Foot Ankle Int 24(11):815–822
Loredo R, Sanders TG (2001) Imaging of osteochondral injuries. Clin Sports Med 20(2):249–278
Mintz DN, Tashjian GS, Connell DA et al (2003) Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy 19(4):353–359
Murawski CD, Kennedy JG (2013) Operative treatment of osteochondral lesions of the talus. J Bone Joint Surg Am 95(11):1045–1054
Nakasa T, Adachi N, Shibuya H et al (2013) Evaluation of joint position sense measured by inversion angle replication error in patients with an osteochondral lesion of the talus. J Foot Ankle Surg 52(3):331–334
Navid DO, Myerson MS (2002) Approach alternatives for treatment of osteochondral lesions of the talus. Foot Ankle Clin 7(3):635–649
Niemeyer P, Salzmann G, Schmal H et al (2012) Autologous chondrocyte implantation for the treatment of chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc 20(9):1696–1703
Orr JD, Dutton JR, Fowler JT (2012) Anatomic location and morphology of symptomatic, operatively treated osteochondral lesions of the talus. Foot Ankle Int 33(12):1051–1057
Paul J, Sagstetter M, Lämmle L et al (2012) Sports activity after osteochondral transplantation of the talus. Am J Sports Med 40(4):870–874
Raikin SM, Elias I, Zoga AC et al (2007) Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int 28(2):154–161
Robinson DE, Winson IG, Harries WJ et al (2003) Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br 85(7):989–993
Santrock RD, Buchanan MM, Lee TH et al (2003) Osteochondral lesions of the talus. Foot Ankle Clin 8(1):73–90, viii
Schimmer RC, Dick W, Hintermann B (2001) The role of ankle arthroscopy in the treatment strategies of osteochondritis dissecans lesions of the talus. Foot Ankle Int 22(11):895–900
Scranton PE Jr, Frey CC, Feder KS (2006) Outcome of osteochondral autograft transplantation for type-V cystic osteochondral lesions of the talus. J Bone Joint Surg Br 88(5):614–619
Seijas R, Alvarez P, Ares O et al (2010) Osteocartilaginous lesions of the talus in soccer players. Arch Orthop Trauma Surg 130:329–333
Seil R, Rupp S, Pape D et al (2001) Approach to open treatment of osteochondral lesions of the talus. Orthopade 30(1):47–52
Seo SS, Park JY, Kim HJ et al (2012) Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review. Pain Physician 15(5):E743–E748
Stroud CC, Marks RM (2000) Imaging of osteochondral lesions of the talus. Foot Ankle Clin 5(1):119–133
Struijs PA, Tol JL, Bossuyt PM et al (2001) Treatment strategies in osteochondral lesions of the talus. Review of the literature. Orthopade 30(1):28–36
Takao M, Ochi M, Uchio Y et al (2003) Osteochondral lesions of talar dome associated with trauma. Arthroscopy 19(10):1061–1067
Takao M, Uchio Y, Kakimaru H et al (2004) Arthroscopic drilling with debridement of remaining cartilage for osteochondral lesions of the talar dome in unstable ankles. Am J Sports Med 32(2):332–336
Thermann H, Becher C (2004) Microfracture technique for treatment of osteochondral and degenerative chondral lesions of the talus 2-year results of a prospective study. Unfallchirurg 107(1):27–32
Tol JL, Strijs PA, Bossuyt PM et al (2000) Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int 21(2):119–126
Toth AP, Easley ME (2000) Ankle chondral injuries and repair. Foot Ankle Clin 5(4):799–840
van Dijk CN, Reilingh ML, Zengerink M et al (2010) The natural history of osteochondral lesions in the ankle. Instr Course Lect 59:375–386
Verhagen RA, Struijs PA, Bossuyt PM et al (2003) Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin 8(2):233–242, viii–ix
Volpi P, Pozzoni R, Galli M (2003) The major traumas in youth football. Knee Surg Sports Traumatol Arthrosc 11(6):339–402
Wong P, Hong Y (2005) Soccer injury in the lower extremities. Br J Sports Med 39(8):473–482
Zengerink M, Szerb I, Hangody L et al (2006) Current concepts: treatment of osteochondral ankle defects. Foot Ankle Clin 11(2):331–359, vi
Anitua E (1999) Plasma rich in growth factors: preliminary results of use in the preparation of sites for implants. Int J Oral Maxillofac Implants 14:529–535
Vaquerizo V, Plasencia MÁ, Arribas I et al (2013) Comparison of intra-articular injections of plasma rich in growth factors (PRGF-Endoret) versus Durolane hyaluronic acid in the treatment of patients with symptomatic osteoarthritis: a randomized controlled trial. Arthroscopy 29(10):1635–1643
Wang-Saegusa A, Cugat R, Ares O et al (2011) Infiltration of plasma rich in growth factors for osteoarthritis of the knee short-term effects on function and quality of life. Arch Orthop Trauma Surg 131(3):311–317
Taylor DW, Petrera M, Hendry M et al (2011) A systematic review of the use of platelet-rich plasma in sports medicine as a new treatment for tendon and ligament injuries. Clin J Sport Med 21(4):344–352
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 ISAKOS
About this chapter
Cite this chapter
Cugat, R., Cusco, X., Seijas, R., Diaz, P.A., Steinbacher, G., Rius, M. (2015). Osteochondral Ankle Injuries in Footballers. In: Canata, G., van Dijk, C. (eds) Cartilage Lesions of the Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46332-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-662-46332-1_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-46331-4
Online ISBN: 978-3-662-46332-1
eBook Packages: MedicineMedicine (R0)