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This report discusse the treatment and mechanism underlying the development of osteochondritis dissecans of the talus with a flat top talus assouted with congenital club foot. We experienced five cases of osteochondritis disecans of the talus. All patients were males and the time of appearance of the lesion ranged from 9 to 14 years of age. Allfive cases had a prominent flat top talus and had an adduction and an entropion deformity. In all five cases, bone tip only appeared in circumscibed regions anterior to a pulley of the talus.We propose the following factors in the development o osteochondritis dissecans in patients with previously treated congenital club foot; stress of the flat top talus, stress of the retention foot deformity, and increasing activity.

Osteochondritis Dissecans of the Talus in Congenital Club Foot.