Talar Osteochondral Defects

Intra-articular ankle injuries to the talar body is one of the common cause of athletic disability that have been estimated to occur in approximately 6.5% of the ankle sprains and commonly affect the dome of the talus. Patients are commonly referred to the clinics with an acute injury to the ankle or with chronic ankle instability. This article describes the clinical presentation and imaging to diagnose of talar osteochondral defects. The treatment options are also reviewed to give consensus on optimal treatment of this condition

___

1. Hepple S, Winson IG, Glew D: Osteochondral lesions of the talus: a revised classification, Foot Ankle Int. 1999;20(12):789-93.

2. Sorrento DL, Mlodzienski A. Incidence of lateral talar dome lesions in SER IV ankle fractures. J Foot Ankle Surg. 2000;39(6):354-8.

3. Schafer DB. Cartilage repair of the talus. Foot Ankle Clin. 2003;8(4):739-49.

4. Brunes J, Behrens P: Etiological and pathophysiologic aspects of osteochondrosis dissecans. Arthroskopie. 1998;11:166.

5. Ahmad J, Raikin S. Current concepts review: talar fractures. Foot Ankle Int. 2006;27(6):475-82.

6. Mankin HJ. The response of articular cartilage to mechanical injury. J Bone Joint Surg Am. 1982;64(3):460-6.

7. Shapiro F, Koide S, Glimcher MJ. Cell origin and differentiation in the repair of fullthickness defects of articular cartilage. J Bone Joint Surg Am. 1993;75(4):532-53.

8. Scranton PE, McDermott JE. Treatment of type V osteochondral lesion of the talus with ipsilateral knee osteochondral autografts. Foot Ankle Int 2001;22(5):380-4.

9. Takao M, Ochi M, Uchio Y, Naito K, Kono T, Oae K. Osteochondral lesions of the talar dome associated with trauma. Arthroscopy. 2003;19(10):1061-7

10. Birk GT, DeLee JC. Osteochondral injuries: clinical findings. Clin Sports Med. 2001;20(2):279-86.

11. Canale ST, Kelly FB Jr. Fractures of the neck of the talus: long-term evaluation of seventy-one cases. JBJS. 1978;60(2):143-56.

12. Berndt AL, Harty M. Transchondral fractures (Osteochon- dritis dissecans) of the talus. JBJS. 1959;41-A:988-1020.

13. Taranow WS, Bisignani GA, Towers JD, Conti SF. Retrograde drilling of osteochondral lesions of the medial talar dome. Foot Ankle Int. 1999;20(8):474-80.

14. Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am. 1989;71(8):1143-52.

15. Bencardino J, Rosenberg ZS, Delfaut E. MR imaging in sports injuries of the foot and ankle. Magn Reson Imaging Clin N Am. 1999;7(1):131-49.

16. Mintz DN, Tashjian GS, Connell DA, Deland JT, O'Malley M, Potter HG. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 2003;19(4):353-9.

17. De Smet AA, Fisher DR, Burnstein MI, Graf BK, Lange RH. Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans): results in 14 patients. AJR Am J Roentgenol. 1990;154(3):555-8.

18. Tol JL, Struijs PA, Bossuyt PM, Verhagen RA, van Dijk CN. Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int. 2000;21(2):119-26.

19. Lin CW, Donkers NA, Refshauge KM, Beckenkamp PR, Khera K, Moseley AM. Rehabilitation for ankle fractures in adults. Cochrane Database Syst Rev. 2012;11:CD005595.

20. Schachter AK, Chen AL, Reddy PD, Tejwani NC. Osteochondral lesions of the talus. JAAOS. 2005;13:152-8.

21. Albert CH, Brian SH. Management of osteochondritis dissecans (OCD). In: UpToDate, Richard GB, ed, UpTo Date, Waltham, MA. (Accessed on January 26, 2015.)

22. Maartje Zengerink M, van Dijk CN. Meta-analysis on Therapy. In: van Dijk CN, Kennedy JG, eds, Talar Osteochondral Defects. Diagnosis, Planning, Treatment, and Rehabilitation. Luxembourg: Springer. 2014;83-94.

23. Deland JT, Young K. Medial Approaches to Osteochondral Lesions of the Talus Without Medial Malleolar Osteotomy. San Diego: American Orthopaedic Foot and Ankle Society; 2001:75.

24. Frost A, Roach R. Osteochondral injuries of the foot and ankle. Sports Med Arthrosc. 2009;17(2):87-93.

25. Kumai T, Takakura Y, Higashiyama I, Tamai S. Arthroscopic drilling for the treatment of osteochondral lesions of the talus. J Bone Joint Surg Am. 1999;81(9):1229-35.

26. Saxena A, Eakin C. Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med. 2007;35(10):1680-7.

27. Chuckpaiwong B, Berkson EM, Theodore GE. Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy. 2008;24(1):106-12.

28. Kolker D, Murray M, Wilson M. Osteochondral defects of the talus treated with autologous bone grafting. J Bone Joint Surg Br. 2004;86(4):521-6.

29. Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review [Review]. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):238-46.

30. Murawski CD, Foo LF, Kennedy JG. A review of arthroscopic bone marrow stimulation techniques of the talus: the good, the bad, and the causes for concern. Cartilage. 2010;1(2):137-44.

31. Van Buecken K, Barrack RL, Alexander AH, Ertl JP. Arthroscopic treatment of transchondral talar dome fractures. Am J Sports Med. 1989;17(3):350-5, discussion:355- 6.

32. Lee KB, Bai LB, Chung JY, Seon JK. Arthroscopic microfracture for osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):247-53.

33. Hunt SA, Sherman O. Arthroscopic treatment of osteochondral lesions of the talus with correlation of outcome scoring systems. Arthroscopy. 2003;19(4):360-7.

34. Cuttica DJ, Shockley JA, Hyer CF, Berlet GC. Correlation of MRI edema and clinical outcomes following microfracture of osteochondral lesions of the talus. Foot Ankle Spec. 2011;4(5):274-9.

35. Robinson DE, Winson IG, Harries WJ, Kelly AJ. Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br. 2003;85(7):989-93.

36. Imhoff AB, Paul J, Ottinger B, W¨ortler K, L¨ammle L, Spang J, Hinterwimmer S. Osteochondral transplantation of the talus: long-term clinical and magnetic resonance imaging evaluation. Am J Sports Med. 2011;39(7):1487-93.

37. Hangody L, V´as´arhelyi G, Hangody LR, S¨uk¨osd Z, Tibay G, Bartha L, Bod´o G. Autologous osteochondral grafting-technique and long-term results. Injury. 2008;39(Suppl 1):S32-9.

38. Kennedy JG, Murawski CD. The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: surgical technique. Cartilage. 2011;2:327-36.

39. Murawski C, Kennedy JG. Operative Treatment of Osteochondral Lesions of the Talus. J Bone Joint Surg Am. 2013;95(11):1045-54.

40. Kwak SK, Kern BS, Ferkel RD, Chan KW, Kasraeian S, Applegate GR. Autologous chondrocyte implantation of the ankle: 2- to 10-year results. Am J Sports Med. 2014;42(9):2156-64.

41. Giannini S, Buda R, Ruffilli A, Cavallo M, Pagliazzi G, Bulzamini MC, Desando G, Luciani D, Vannini F. Arthroscopic autologous chondrocyte implantation in the ankle joint. Knee Surg Sports Traumatol Arthrosc. 2014;22(6):1311-9.

42. Jones CW, Willers C, Keogh A, Smolinski D, Fick D, Yates PJ, Kirk TB, Zheng MH. Matrix-induced autologous chondrocyte implantation in sheep: objective assessments including confocal arthroscopy. J Orthop Res. 2008; 26(3):292-303.

43. Anders S, Goetz J, Schubert T, Grifka J, Schaumburger J. Treatment of deep articular talus lesions by matrix associated autologous chondrocyte implantation--results at five years. Int Orthop. 2012;36(11):2279-85.

44. Dixon S, Harvey L, Baddour E, Janes G, Hardisty G. Functional outcome of matrixassociated autologous chondrocyte implantation in the ankle. Foot Ankle Int. 2011;32(4):368-74.

45. Magnan B, Samaila E, Bondi M, Vecchini E, Micheloni GM, Bartolozzi P. Threedimensional matrix-induced autologous chondrocytes implantation for osteochondral lesions of the talus: midterm results. Adv Orthop. 2012;2012:942174.

46. Giannini S, Buda R, Grigolo B, Vannini F. Autologous chondrocyte transplantation in osteochondral lesions of the ankle joint. Foot Ankle Int. 2001;22(6):513-7.

47. Ventura A, Terzaghi C, Legnani C, Borgo E. Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach. Knee Surgery, Sports Traumatology, Arthroscopy. 2013;21(6):1245-50.

48. A Patient's Guide to osteochondritis dissecans of the Talus. http://www.eorthopod.com/osteochondritis-dissecans-of-the-talus/topic/39. Access date 05.02.2015
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Evaluation of Neuroimaging and Electroencephalography Findings in Patients with Status Epilepticus

Berrak BİLGİNER GURBUZ, FATİH GÜRBÜZ, Atilla ÇAYIR, Irfan Oguz SAHİN, Deniz OKDEMİR, Alev GÜVEN, Aydan DEĞERLİYURT, Gülşen KÖSE

Investigation of Extended-Spectrum Beta-Lactamase (Esbl) in Nosocomial Gram-Negative Bacterial Isolates by Different Test Methods

FİLİZ ORAK, Akgün YAMAN, Gülşah ŞEYDAOĞLU

Evaluation of Left Ventricular Function of Patients with Irritable Bowel Syndrome with Tissue Doppler and 2D Speckle Tracking Echocardiography

Hakan TAŞOLAR, Selami DEMİRELLİ, Havva YILMAZ, Esra POYRAZ, Hüsnü DEĞİRMENCİ, Mehmet BALLI, Mustafa ÇETİN

Comparative Study of two Doses of Intrathecal Dexmedetomidine Versus Fentanyl as Adjuvant to Hyperbaric Bupivacaine Spinal Anesthesia

Mahmoud M AMER, Doaa A. RASHWAN, Maha A SHAKER

Kronik Böbrek Hastalıklarında Aneminin Değerlendirilmesi ve Tedavisi

Bilge AYGEN

Moxifloxacin Induced Acute Delirium with Visual Hallucinations

Ergenekon KARAGÖZ, Asım ÜLÇAY, Asil BUDAKLİ, Recep TÜTÜNCÜ

Effectiveness of Natural Killer (NK) Cells in Peripheral Blood Stem-Cell towards Expression of EZH2, Ki-67 and Apoptosis in Retinoblastoma (RB) Cells Culture

Hendrian D. SOEBAGJO, Susy FATMARİYANTİ, Delfitri LUTFİ

Comparison of Conventional Inflammatory Parameters with Tumor Necrosis Factor-α Levels in Different Stages of Diabetic Retinopathy and Non-Diabetic Controls

Metin GÜÇLÜ, Berkant KADERLİ, Canan ERSOY

Thyroid Gland Hemiagenesis with Multinodular Graves' Disease: A Case Report

Ayşe ARDUÇ, Mazhar Müslüm TUNA, Berçem AYÇİÇEK DOĞAN, Gülhan AKBABA, DİLEK BERKER, Serdar GÜLER

Drug Prescribing Pattern in Dermatophytosis at the Medical Outpatient Clinic of a Tertiary Healthcare in Karnataka, India

Vishal P GİRİ, Om P GİRİ