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Osteochondral lesions of the talus in the athlete: up to date review

  • Foot and Ankle Sports Medicine (M Drakos, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of review

Osteochondral lesions of the talus (OLT) are common injuries in athletes. The purpose of this study is to comprehensively review the clinical results and return to sport capacity in athletes following treatment for OLT.

Recent findings

Reparative procedures, such as bone marrow stimulation, and replacement procedures, such as autologous osteochondral transplantation, provide good clinical outcomes in short- and mid-term follow-up in the athlete. Recently, biological augmentation and scaffold-based therapies have been shown to improve clinical and radiological outcomes in OLT in both the general population and athletes.

Summary

Most studies are of a low level of evidence. Studies analyzing the return to sport capability in athletes are further lacking. High-level evidence and well-designed clinical trials are required to establish the most effective treatment protocol.

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Authors and Affiliations

  1. Hospital for Special Surgery, 523 East 72nd Street, Suite 507, New York, NY, 10021, USA

    Yoshiharu Shimozono, Youichi Yasui, Andrew W. Ross & John G. Kennedy

  2. Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Yoshiharu Shimozono & Youichi Yasui

  3. Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

    Yoshiharu Shimozono

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  1. Yoshiharu Shimozono
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  2. Youichi Yasui
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  3. Andrew W. Ross
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  4. John G. Kennedy
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Correspondence to John G. Kennedy.

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Conflict of interest

Yoshiharu Shimozono, Youichi Yasui, and Andrew W. Ross declare that they have no conflict of interest. John G. Kennedy reports grants from Arteriocyte, Inc., The Ohnell Family Foundation, and Mr. and Mrs. Michael J. Levitt outside of the submitted work. He is a board member for the European Society of Sports Traumatology, Knee Surgery, and Arthroscopy (ESSKA) and a finance board member of the International Cartilage Repair Society (ICRS), and he is on the committee for the American Orthopaedic Foot & Ankle Society (AOFAS) Awards and Scholarships.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Foot and Ankle Sports Medicine

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Shimozono, Y., Yasui, Y., Ross, A.W. et al. Osteochondral lesions of the talus in the athlete: up to date review. Curr Rev Musculoskelet Med 10, 131–140 (2017). https://doi.org/10.1007/s12178-017-9393-8

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