This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Nelson, S. C. Articles by Haycock, D. M. Search for Related Content PubMed PubMed Citation Articles by Nelson, S. C. Articles by Haycock, D. M.

Arthroscopy-Assisted Retrograde Drilling of Osteochondral Lesions of the Talar Dome

Scott C. Nelson, DPM ^* and Darryl M. Haycock, DPM 

^* Private practice, Omaha, NE; Foot and Ankle Institute, Western Pennsylvania Hospital, Pittsburgh.
Private practice, Lima, OH.

Corresponding author: Scott C. Nelson, DPM, Omaha Foot and Ankle Specialists, 13906 Gold Cir, Ste 103, Omaha, NE 68144.

Abstract

Traumatic ankle conditions can lead to long-term sequelae if a pathologic process is misdiagnosed. The clinical presentation of an osteochondral lesion of the talar dome requires the clinician to have a high index of suspicion, and advanced imaging is often necessary to make the final diagnosis. Treatment should be initiated once the lesion is appropriately staged by radiologic or magnetic resonance imaging. We discuss the use of arthroscopy-assisted retrograde drilling of the medial talar dome that spares the articular cartilage within the talotibial articulation. (J Am Podiatr Med Assoc 95(1): 91–96, 2005)