Reinsertion of an Inverted Osteochondral Lesion of the Talus: A Case Report

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Abstract

Osteochondral lesions of the talus (OLTs) occur infrequently and are missed at the initial presentation in up to 67% of cases. Probably more than 1500 OLTs have been reported in published studies, of which, thus far, only 5 cases have been an inverted anterolateral OLT. An anterolateral OLT results from a hypersupination trauma, in which the talar dome is caught behind the fibula. Apparently, if the forces are large enough a "flip of the coin" phenomenon occurs, causing the fragment to invert 180 degrees upside down. We present the case of a young female patient with an inverted OLT that was treated with open reduction and internal fixation using bioabsorbable pins. Follow-up radiographs and computed tomography showed a congruent joint and complete healing of the osteochondral fragment. At the short-term follow-up visit, the functional outcome was promising. (C) 2011 by the American College of Foot and Ankle Surgeons. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)486-489
Number of pages4
JournalJournal of Foot & Ankle Surgery
Volume50
Issue number4
DOIs
Publication statusPublished - 2011

Research programs

  • EMC MUSC-01-47-01
  • EMC MUSC-01-48-01

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