OSTEOCHONDRAL LESIONS OF THE TALAR DOME IN CHILDREN - A 24 (7-36) YEAR FOLLOW-UP OF 13 CASES

13 patients who in childhood had had osteochondral lesions (OCL) of th e talar dome participated in a long-term follow-up including physical examination, computed tomography (CT) and conventional radiographs. Mo st of the cases were caused by trauma. Conventional radiographs showed abnormal findings in 4 cases and CT in a further one. In 3 cases the primary lesion could still be seen as an osteochondral defect, and 2 h ad a loose body in the joint. 3 of these 5 patients had mild symptoms. We conclude that arthrosis following OCL in childhood is infrequent a nd recommend conservative treatment initially. In those with persistin g symptoms, additional imaging evaluation with CT and MRI is recommend ed.