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Preoperative images of a 12-year-old male baseball player with a right medial talar dome OCD lesion. Preoperative sagittal and coronal (panels A and B, respectively) inversion recovery (IR) magnetic resonance imaging (MRI) and anteroposterior weight-bearing radiographs (panel C) and of a 12-mm (anterior to posterior) by 8-mm (medial to lateral) by 6-mm (deep) osteochondral lesion of the right medial talar dome. He underwent ankle arthroscopy <t>extracellular</t> matrix with bone marrow aspirate concentrate (ECM-BMAC). OCD, osteochondritis dissecans.
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Image Search Results


Preoperative images of a 12-year-old male baseball player with a right medial talar dome OCD lesion. Preoperative sagittal and coronal (panels A and B, respectively) inversion recovery (IR) magnetic resonance imaging (MRI) and anteroposterior weight-bearing radiographs (panel C) and of a 12-mm (anterior to posterior) by 8-mm (medial to lateral) by 6-mm (deep) osteochondral lesion of the right medial talar dome. He underwent ankle arthroscopy extracellular matrix with bone marrow aspirate concentrate (ECM-BMAC). OCD, osteochondritis dissecans.

Journal: Journal of the Pediatric Orthopaedic Society of North America

Article Title: Concentrated Bone Marrow Aspirate With Extracellular Matrix Grafting for Osteochondral Lesions of the Talus in Pediatric and Adolescent Patients

doi: 10.1016/j.jposna.2026.100324

Figure Lengend Snippet: Preoperative images of a 12-year-old male baseball player with a right medial talar dome OCD lesion. Preoperative sagittal and coronal (panels A and B, respectively) inversion recovery (IR) magnetic resonance imaging (MRI) and anteroposterior weight-bearing radiographs (panel C) and of a 12-mm (anterior to posterior) by 8-mm (medial to lateral) by 6-mm (deep) osteochondral lesion of the right medial talar dome. He underwent ankle arthroscopy extracellular matrix with bone marrow aspirate concentrate (ECM-BMAC). OCD, osteochondritis dissecans.

Article Snippet: This is then mixed with the extracellular matrix scaffold (BioCartilage®, Arthrex, Naples, FL, USA).

Techniques: Magnetic Resonance Imaging

Intraoperative arthroscopic images of the same child. Panel A demonstrates the lesion with softened overlying cartilage. Panel B is the lesion after lesion bed preparation with removal of unhealthy cartilage and curettage to a stable base of subchondral bone. Panel C is the ECM-BMAC graft sealed with fibrin glue. ECM-BMAC, extracellular matrix combined with bone marrow aspirate concentrate.

Journal: Journal of the Pediatric Orthopaedic Society of North America

Article Title: Concentrated Bone Marrow Aspirate With Extracellular Matrix Grafting for Osteochondral Lesions of the Talus in Pediatric and Adolescent Patients

doi: 10.1016/j.jposna.2026.100324

Figure Lengend Snippet: Intraoperative arthroscopic images of the same child. Panel A demonstrates the lesion with softened overlying cartilage. Panel B is the lesion after lesion bed preparation with removal of unhealthy cartilage and curettage to a stable base of subchondral bone. Panel C is the ECM-BMAC graft sealed with fibrin glue. ECM-BMAC, extracellular matrix combined with bone marrow aspirate concentrate.

Article Snippet: This is then mixed with the extracellular matrix scaffold (BioCartilage®, Arthrex, Naples, FL, USA).

Techniques:

Postoperative MRI of the same child after ECM-BMAC for medial talar dome OLT. Sagittal proton density (PD)–weighted and coronal PD-weighted MRI (panels A and B, proton-dense sequences) shows of the defect 20.0 months after treatment with ECM-BMAC with good fill of the cartilage defect without underlying edema (panel C, inversion recovery sequence) and restoration of the radius of curvature of the articular surface. He was cleared to return to sport at 6.3 months and was doing well without pain at the last clinical follow-up of 22.5 months. ECM-BMAC, extracellular matrix combined with bone marrow aspirate concentrate; MRI, magnetic resonance imaging; OLT, osteochondral lesion of the talus.

Journal: Journal of the Pediatric Orthopaedic Society of North America

Article Title: Concentrated Bone Marrow Aspirate With Extracellular Matrix Grafting for Osteochondral Lesions of the Talus in Pediatric and Adolescent Patients

doi: 10.1016/j.jposna.2026.100324

Figure Lengend Snippet: Postoperative MRI of the same child after ECM-BMAC for medial talar dome OLT. Sagittal proton density (PD)–weighted and coronal PD-weighted MRI (panels A and B, proton-dense sequences) shows of the defect 20.0 months after treatment with ECM-BMAC with good fill of the cartilage defect without underlying edema (panel C, inversion recovery sequence) and restoration of the radius of curvature of the articular surface. He was cleared to return to sport at 6.3 months and was doing well without pain at the last clinical follow-up of 22.5 months. ECM-BMAC, extracellular matrix combined with bone marrow aspirate concentrate; MRI, magnetic resonance imaging; OLT, osteochondral lesion of the talus.

Article Snippet: This is then mixed with the extracellular matrix scaffold (BioCartilage®, Arthrex, Naples, FL, USA).

Techniques: Sequencing, Magnetic Resonance Imaging