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Follow-up Imaging for Osteochondral Lesions of the Ankle

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Talar Osteochondral Defects

Abstract

Imaging methods for assessing osteochondral lesions (OCL) at follow-up include standard radiographs (x-ray), computed tomography (CT), magnetic resonance imaging (MRI), and second-look arthroscopy. These modalities have been correlated with clinical outcome measures and have been used simultaneously in order to compare their relative sensitivity and specificity for assessment of OCLs [ 16 , 17 , 20 , 22 , 24 , 35 , 36 , 38 ]. Standard radiographs are simple and well established but are unable to assess articular cartilage. Second-look arthroscopy has the advantage of direct visualization, and it has the obvious disadvantage of requiring an additional invasive procedure at follow-up. MRI and CT have the advantage of being noninvasive. Furthermore, technological advancements have increased cartilage assessment efficacy. A standard should be set with respect to which modality and what time points should be chosen for follow-up imaging.

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Conflict of Interest

The author has no current conflict of interests with the products presented.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Keir A. Ross BS, Niall A. Smyth MD & John G. Kennedy MD, MCh, FRCS (Orth)

  2. First Clinic of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy

    Francesca Vannini MD, PhD

Authors
  1. Keir A. Ross BS
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  2. Niall A. Smyth MD
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  3. Francesca Vannini MD, PhD
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  4. John G. Kennedy MD, MCh, FRCS (Orth)
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Correspondence to John G. Kennedy MD, MCh, FRCS (Orth) .

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Editors and Affiliations

  1. Orthopaedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

  2. Orthopaedic Surgery and Traumatology, Hospital for Special Surgery, New York, New York, USA

    John G. Kennedy

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Ross, K.A., Smyth, N.A., Vannini, F., Kennedy, J.G. (2014). Follow-up Imaging for Osteochondral Lesions of the Ankle. In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-45097-6_12

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  • Online ISBN: 978-3-642-45097-6

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