Management of Subchondral Lesions in the Foot and Ankle.

Joshua Wolfe, Brian Derner, Ryan T Scott

Journal: Clinics in podiatric medicine and surgery 2023;40(3):553-568

PMID: 37236691

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Abstract

The treatment of subchondral lesions is an area with limited focus within the foot and ankle literature. The literature has shown an association between disruption of the subchondral bone plate and the formation of subchondral cysts. The primary causes of subchondral lesions are acute trauma, repetitive microtrauma, as well as idiopathic means. Evaluation of these injuries should be done carefully and often requires advanced imaging including MRI and computed tomography. Treatment does vary depending on the presentation of the subchondral lesion with or without the presence of an osteochondral lesion.

Address: The CORE Institute Reconstructive Foot and Ankle Fellowship, The CORE Institute, 18444 North 25th Avenue, Suite 210, Phoenix, AZ 85023, USA. Electronic address: [email protected].; The CORE Institute Reconstructive Foot and Ankle Fellowship, The CORE Institute, 18444 North 25th Avenue, Suite 210, Phoenix, AZ 85023, USA.

DOI: 10.1016/j.cpm.2023.03.005

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MeSH Terms: Humans, Ankle, Talus, Arthroscopy, Ankle Joint, Lower Extremity, Cartilage, Articular