Pre-operative 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) inversion recovery (IR) magnetic resonance imaging (MRI) and AP weight-bearing radiographs (panel C) and of a 12mm (anterior to posterior) by 8mm (medial to lateral) by 6mm (deep) osteochondral lesion of the right medial talar dome. He underwent ankle arthroscopy extracellular matrix with bone marrow aspirate concentrate (ECM-BMAC).