BMJ Case Reports 2018; doi:10.1136/bcr-2017-223441
  • Unusual presentation of more common disease/injury

Arthroscopic reduction and fixation of a lateral inverted osteochondral fracture of the talus (‘LIFT’)

  1. Nuno Tavares
  1. Centro Hospitalar de Entre o Douro e Vouga, E P E, Santa Maria da Feira, Aveiro, Portugal
  1. Correspondence to Dr Joao Teixeira, jpedrote{at}
  • Accepted 2 April 2018
  • Published 11 April 2018


Some ankle sprains hide important lesions beyond the classic lateral ligament complex injuries. The lateral inverted osteochondral fracture of the talus (LIFT) represents a rare osteochondral lesion, whose diagnosis relies on a high clinical suspicion followed by correct image study interpretation. We present a successful arthroscopic fixation of a LIFT lesion in a 45-year-old active man. At 8 months follow-up, the patient was pain free and able to return to his daily activities without limitation. The imagiological study showed osteochondral fragment consolidation with no signs of hardware failure. This midterm results reassemble the need for early diagnosis and correct treatment to achieve a good outcome in these complex and rare osteochondral lesions.


  • Contributors JT diagnosed the compartment syndrome, operated the patient and wrote the paper. MC helped in operating the patient and also contributed to the article revision. AT helped with the article revision. NT was responsible for the surgery and also helped with the article revision.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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