Condition guide
Osteochondral Lesions of the Talus (OLT) - Overview
Injury to the cartilage and bone on the top of the talus bone in the ankle joint.
Symptoms
- Deep ankle pain
- Catching or locking
- Swelling
- Pain after activity
Causes & Risk Factors
- Severe ankle sprain
- Repetitive microtrauma
- High-impact sports
Diagnosis
- MRI to visualize cartilage damage
- X-rays may show bone fragments
- History of trauma
Effective Treatment Options
- Rest and protected weight-bearing
- Physiotherapy for joint health
- Surgery in severe cases (microfracture or grafts)
Frequently Asked Questions
Can OLT heal without surgery?
Small lesions may heal with conservative care.
Is it common after ankle sprains?
Yes, especially in high-impact or poorly rehabbed injuries.
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