Three bones make up the ankle: the tibia, the fibula and the talus. The latter joins with the other two bones and they form the joint. The function of this bone is to allow the ankle to have mobility, both up and down. It rarely fractures, as it is one of the hardest and densest bones in the foot. In this article we tell you what talus is, the symptoms and causes of ankle talus injury and the best treatment for it. Keep reading!
What is a talus injury?
Chondral lesions affect the cartilage, while osteochondral lesions not only affect it, but also cause damage to the underlying bone, in this case the talus.
Talar injury is also known as ankle osteochondritis. It is a very common injury in athletes who repeatedly perform impact exercises, such as high jumping, basketball or tennis, sports in which it is required to have an optimal state of the ankle due to the pressure and impact it receives. during sports practice. It has a greater presence in men than in women, and especially in ages ranging from 20 to 30 years.
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Request a second medical opinionLateral recess fractures, typical of snowboarders, look more like a sprained ankle, and the symptoms are usually confused.
Symptoms of talus fracture
Although the symptoms of this type of injury vary depending on the degree of the condition, the main symptoms of fracture of the talus bone are the following:
- Ankle joint pain and swelling
- Ankle locking and instability
- Difficulty supporting weight on the foot
- Limited ankle range of motion
Sometimes these symptoms decrease with rest.
Causes of osteochondral injury of the talus
In the field of sports practice, the main cause is due to repetitive trauma from repetitive exercises or acute trauma from a sports accident.
On other occasions, when the osteochondral lesion of the talus is diagnosed after an ankle sprain that does not improve despite having followed the indicated treatment. Other causes of talus injury may be age, chronic instability in the ankle joint or lack of blood flow to the area (necrosis).
Diagnosis and treatment of talar osteochondritis in the ankle
Once the patient presents the symptoms that have been mentioned in the post, he or she usually tells the traumatologist who is an expert in this type of injuries what the symptoms are. This is when the professional will consult the patient's medical history to make a prior evaluation of the history and possible causes that may have led to the appearance of this type of injury.
Diagnosis of talus fracture
Diagnosis for talus fractures is made through x-rays. If the patient presents this fracture, it is recommended to complement this test with others such as CT, whose purpose is to assess the displacement and involvement of the joints.
Treatment for talus injury
Treatment for osteochondral ankle injuries depends on the level of involvement, the condition and characteristics of each patient, as well as the presence of other injuries in the affected area.
For the treatment of this type of ankle injuries, you can opt for minimally invasive surgical treatments or treatments. In cases where the fracture has not caused displacement, the specialist will assess whether conservative treatment is sufficient for recovery from the injury.
As a treatment that does not require surgery, it is recommended to immobilize the leg with a cast so that the foot does not have to support the weight of the body and does not lead to the injury being aggravated. Normally, this type of treatment is accompanied by anti-inflammatories and analgesics, along with physiotherapy sessions, all indicated by the specialist in ankle traumatology.
In the most serious cases when the patient has a displaced talus fracture, minimally invasive surgery will have to be performed. The most commonly used surgical method for osteochondritis lesions is minimally invasive ankle arthroscopy. At Clínica Elgeadi we have traumatologists specializing in minimally invasive surgery in Madrid who can study your case and determine the most appropriate treatment for your pathology.
Arthroscopy is a minimally invasive technique in which, through a small incision, the arthroscope is introduced to observe the tissues of the joint and with which the evolution of the injury can be evaluated.
Do trauma injuries prevent you from continuing with your daily routine? Make an appointment with the team traumatology experts in Madrid led by Prof. Dr. Elgeadi and obtain a professional diagnosis of your pathology with the personalized treatment you need. We look forward to helping you.
39 thoughts on “Lesiones osteocondrales del astrágalo: qué son y por qué se producen”
I have necrosis of the talus bone in my left foot. The traumatologist does not advise performing three infiltrations of stem cells from the femur marrow. Are these infiltrations advisable?
Can it be dangerous?
Is there a guarantee of success?
Thanks in advance!
Hello Pedro,
Thank you very much for your comment. In your case, we cannot recommend this intervention without first making a professional diagnosis of your pathology. You can make an appointment with our expert traumatologists in stem cell treatments in the link provided.
All the best.
Hello, I have the same injury that you say you have, they injected me with hyaluronic acid infiltration and the result: eight days with a swollen ankle and continuous pain; After stem cell infiltration, result: 400 euros, swollen ankle and continued injury. I wear insoles and the most effective thing when I walk are two hiking poles and they work very well for me. All the best
Hello, I have a crushed and displaced talus with a broken calcaneus.
I had surgery and I caught bacteria from the operating room. Now after eleven months with three interventions, it is impossible for my foot to move like before, it seems to have become atrophied.
Good morning Santiago,
We are very sorry for your condition.
You can request an appointment with our trauma doctors If you wish, to study the area and offer you the most appropriate treatment.
All the best.
Hello, two years ago I had a grade 2 ankle sprain, and I also injured my talus. I went to physical therapy for a month, but it still bothers me. It doesn't hurt (sometimes), but I feel like something is wrong. Could you tell me some exercises I can do to reduce the pain or injury to my talus?
Hello Francisco,
Thank you for your comment. After an injury like the one you describe, it's essential that recovery exercises be prescribed by a physical therapist based on your specific situation, as each case may require a different approach.
In any case, on the Rekovery Clinic Instagram and YouTube channel, you can find some guiding exercises that could help improve mobility and reduce discomfort. If you wish, you can also schedule an appointment with our team by calling 91 005 39 00 for a more personalized assessment.
Greetings.
I HAVE OSTEOCONDREAL TATALAL INJURY WITH BONE EDEMA, I DID MAGNETOTHERAPY FOR 2 MONTHS, I STARTED LEAVING THE CRUTCHES AND I WOULD LIKE TO KNOW IF I CAN DO EXERCISES AND WHAT TYPE OF EXERCISES AND WALK HOW MUCH?
THANK YOU
Hello rosa,
The images must be adequately reviewed and the extent of the lesion as well as its location must be seen. Each case is very particular and should not be generalized. Sometimes they even require surgical treatment.
All the best.
Rosa Hello, could you tell me how you are doing? Please, I am very worried. I also have this injury but they tell me that it cannot be operated on because it is very small. I need to talk to someone, please. I am from Colombia. My number is +3173998765. Thank you for answering me.
Hello rose, how did you continue?
Hello, good morning, my problem is that when I walk my left talus goes inward and I feel a little discomfort when walking, I feel that I have no balance on that side and I feel a very bad footprint, the truth is that this has limited me a lot and has fact that I don't leave my house like before out of shame because I feel like I'm walking wrong.
Hi Carlos,
The ideal would be to do a good clinical examination and history to rule out midfoot pathologies. It is normal for it to be a flat foot, but it is necessary to study it correctly and determine the cause of the lameness.
A hug.
Hello, I fractured my left talus in an accident, they put it in a fiberglass cast for 3 months, now I walk but my ligaments hurt, it hurts to bend my foot inward, what can I do?
Hello Luis Antonio, it is very important to go to physiotherapy since the recovery of the talus is quite long-lasting.
All the best.
Good afternoon, my name is Ana and 8 months ago I fractured my tibia and fibula, it still hurts too much when I put my foot down and I can't move it up. The astrologer hurts me. I can't walk well. I still have a stiff neck. My traumatologist told me that I'll stay that way. for life but I would like a new opinion.
Hello Ana,
In our clinic we believe that there are always solutions or treatments that improve the quality of life of our patients. We will be happy to give you that opinion after evaluating your case. Please make your appointment with one of our specialists by calling +34 910 053 900
We hope to see you soon.
Hello, I have had a swollen ankle for 4 months, it has decreased considerably, but when I put my foot down I have pain in the sole of my foot and the pain cannot get better, they told me it was a bursitis, my x-rays came back normal but it is normal for it to last so long. pain and swelling, they already gave me medicine and nothing
Hello Erick,
Bursitis rehabilitation can take up to 6 months. It is important to carry out the corresponding rehabilitation with physiotherapy.
Greetings
Hello, I have bone edema from the astrologer and I did magnetotherapy but it is still swollen and it hurts.
Hello, Gloria,
The talus is a complicated area to recover. To help you, we should look at the x-rays and evaluate if any additional imaging tests are necessary.
You can make an appointment at our clinic by calling 910 053 900 and one of our specialists will help you with your case.
Greetings
Hello, I had a sprain 4 and a half months ago, the pain and inflammation do not go down despite physiotherapy, they did an MRI and it says that I have a rupture of the fibers of the anterior peroneal-talar and peroneal-calcaneus ligaments, osteochondral injury in the medial articular surface of the talar dome
Peritendonitis of the fibers of the peroneal and posterior tibial tendons
Posterior subtalar sonovitis
Fifteen days ago I had a sprain again which increased the pain and inflammation and I still haven't seen a specialist.
Hi Angela,
Come to our clinic to have a physical examination and a specialist review the imaging tests. This way we can tell you the steps to follow with greater precision so that you can have rehabilitation at 100%
You can make an appointment by calling 910 053 900
Greetings.
A month ago I had an accident and I fractured the talus of my left foot and they put a splint on it to immobilize it. It's been 20 days and when I keep my foot elevated, I start to feel a very intense burning in my heel. I want to know if that is normal. ?
Hello María, you should check the cast and the condition of the skin with your doctor.
Greetings
Hello, I had a traffic accident. The MRI says a 4mm osteochondral lesion and I have bone edema. The doctor says there is no need to operate because I am very small. I am very depressed, they sent me to physiotherapy, they start on the 11th of this month. It is possible to recover only with physiotherapy. These injuries know that the cartilage does not regenerate, but I would like to know if it is cured. I appreciate you answering me and thank you.
Hello Joha,
We do not have full knowledge of the case to assure you that you only need physical therapy.
Although if it is what the specialists who have studied your case indicated, it is surely the best option. In any case, it is always good to seek advice and seek more expert opinions to define the steps to follow.
Greetings
3 months ago playing soccer with bad support I hurt my ankle, they told me it was a sprain, but the pain continued, they put me in half a cast, then they told me I could have fractured my trigone bone (accessory) then no, it was a old fracture, after 3 months I still have pain in the back of my ankle and I have a limitation in bending my ankle downwards, it doesn't bend and as far as I go I can see the stars. It also hurts if I rotate or flex upwards. They did a CT scan and nothing came out. I don't know if it could be that accessory bone that's bothering me or what could it be?
Hello Rocio,
To give you a diagnosis and find the cause of your pain, we would need to look at imaging tests and perform a physical examination.
You can make an appointment by calling (34) 910 053 900 and one of our specialists will be happy to help you.
Greetings
I was in a traffic accident, the talus bone was decapitated and came out at the moment of the impact. The orthopedist tells me that there is no solution that provides stabilization but that I lose the mobility of my foot. I would like to know if there is another procedure so that I do not lose my mobility. I want to run again. I am 37 years old.
Hello Jorge,
Talar injuries are complicated. In any case, if you are interested in a second consultation we can evaluate your case.
You can make an appointment by calling 91 005 39 00.
Greetings
Hello. I had a fissure of the talus, body and neck, which was only treated in surgery. After two years I was injured again and I am in a lot of pain. My ankle goes away on its own and makes me fall.
Hi Silvana, we are very sorry to hear about your situation. Talus injuries are complex due to the importance of this bone in ankle stability and movement.
It is crucial that you see an orthopedic specialist, preferably someone with experience in ankle and foot, for a complete evaluation. Further imaging (such as an MRI or CT scan) may be necessary to assess the current status of the talus and ankle joint, as well as to check the integrity of the ligaments and other soft tissues.
You can make an appointment at our center by calling +34 91 005 39 00.
Greetings
Hello doctor, I am a 23-year-old patient who, following a dislocation-fracture of the talus 2 years ago, is suffering from osteoarthritis and recent necrosis of the talus, which is getting worse quickly. I want to know, doctor, if there is any other alternative to arthrodesis? I have no other option, doctor, and I am very young. I would need your help. I await your response.
Hello Augustine.
We understand your concern, but we cannot offer you a definitive answer without a face-to-face assessment. If you would like a second opinion, we invite you to schedule an appointment with our specialist traumatologists, who will be able to evaluate your case in detail and guide you through the available options. Request your appointment by making an appointment Click here.
Greetings
Hello. I have had pain in my ankle at the level of the talus for 4 months and my fingers are numb. The traumatologist told me that I have a subchondral lesion at the level of the talus. He prescribed me a power injection of hyaluronic acid. I have been wearing insoles for a short time. Can I get the hang of it?
Hello Cristina,
Subchondral injury to the talus can cause pain and other symptoms such as numbness in the fingers, as it affects the bone structure and can lead to inflammation. Treatment with hyaluronic acid, as suggested by your orthopedist, can help reduce pain and improve mobility by lubricating the joint and decreasing friction. Insoles can also be helpful to improve alignment and distribute weight more evenly.
It is important that you follow your doctor's instructions and evaluate how your body responds to these treatments. If the pain persists or does not improve, it may be necessary to consider other options or perform more studies to better understand the cause of the pain. If you have questions or need a second opinion, do not hesitate to schedule an appointment with our specialists for a more detailed evaluation.
Greetings.
God Almighty
اريد ان اسال لقد عملت اشعه رنين
للكاحل لاني اشكو من الم عند المشي
وظهر عندي الاتي :
Osteochondral Defect – OCD الإنسية الوسطى، بحجم 5×6 مم.
• ترافقها شق سائل تحت الغضروف وعدم انتظام في السطح العظمي.
• ترقق شديد في الغضروف مع دلائل على الانفصال التدريجي.
• وذمة خفيفة حول الآفة، ولكن لا يوجد انصباب مفصلي ملحوظ.
✅ باقي المفصل والأنسجة المحيطة:
• لا يوجد تمزق في الأوتار الأساسية (الظنبوب الأمامي والخلفي، البيروني، المرن).
• وُجد التهاب خفيف (tenosynovitis) في الوتر الظنبوبي الخلفي.
• الأربطة الكاحلية سليمة.
• Sinus Tarsi (Sinus Tarsi) أو كتلة غير طبيعية
فقط اريد ان اعرف حالتي احتاج لجراحه ام لا ؟ ومانوع العلاج المحتمل
مرحبًا،
شكرًا لمشاركة تفاصيل الرنين المغناطيسي الخاص بك. استنادًا إلى من إصابة عظمية غضروفية في الكاحل، مع بعض علامات التآكل في الغضروف والتهاب خفيف، مما قد يكون سببًا في الألم عند المشي.
فيما يتعلق بالحاجة إلى الجراحة، سيعتمد ذلك على عدة مثل درجة الألم، وتأثيره على حركتك، واستجابة العلاج غير الجراحي. في كثير من الأحيان، يمكن التعامل مع الإصابات العظمية الغضروفية الأدوية المضادة للالتهابات، والراحة. إذا استمرت الأعراض في التدخل الجراحي، بناءً على شدة الإصابة.
لتقييم حالتك بشكل دقيق واقتراح أفضل خطة علاج، والتي قد تتضمن خيارات غير جراحية God.
أتمنى لك الشفاء العاجل.