Abstract
Chondral lesions of the talus can be a potential cause of long-term debilitation. Although advanced studies such as magnetic resonance imaging (MRI) and computed tomography (CT) have been shown to be very sensitive and specifi c in identifying these defects, a negative study cannot defi nitively rule out osteochondral defects (OCDs) [ 13 , 25 ].
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References
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;71:1143–52.
Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41-A:988–1020.
Brittberg M, Winalski CS. Evaluation of cartilage injuries and repair. J Bone Joint Surg Am. 2003;85-A Suppl 2:58–69.
Choi WJ, Park KK. Osteochondral lesions of the talus: is there a critical defect size for poor outcome. Am J Sports Med. 2009;37(10):1974–80.
Ferkel RD. Arthroscopic surgery: foot and ankle. Philadelphia: JB Lippincott; 1996.
Ferkel RD, Hommen J. editors. Arthroscopy of the foot and ankle. In: Coughlin MJ, Mann RA, Saltzman CL editors. Surgery of the foot and ankle. 8th ed. Mosby: Philadelphia; 2007. p. 1641–726.
Ferkel RD, Sgaglione N, DelPizzo W. Arthroscopic treatment of osteochondral lesions of the talus: long-term results. Orthop Trans. 1990;14:172–3.
Ferkel RD, Zanotti RM, Komenda GA. Arthroscopic treatment of chronic osteochondral lesions of the talus: long term results. Am J Sports Med. 2008;36(9):1750–2.
Friemert B. Diagnosis of chondral lesions of the knee joint: can MRI replace arthroscopy? A prospective study. Knee Surg Sports Traumatol Arthrosc. 2004;12(1):58–64.
Giannini S, Vannini F. Operative treatment of osteochondral lesions of the talar dome: current concepts review. Foot Ankle Int. 2004;25(3):168–75.
Hepple S, Winson IG, Glew D. Osteochondral lesions of the talus: a revised classification. Foot Ankle Int. 1999;20(12):789–93.
Kuikka PI. Sensitivity of routine 1.0-Tesla magnetic resonance imaging versus arthroscopy as gold standard in fresh traumatic chondral lesions of the knee in young adults. Arthroscopy. 2006;22(10):1033–9.
Lee KB. A comparison of arthroscopic and MRI findings in staging of osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc. 2008;16(11):1047–51.
Lee KB, Bai LB. Second-look arthroscopic findings and clinical outcomes after microfracture for osteochondral lesions of the talus. Am J Sports Med. 2009;37(10):63–70.
McGahan PJ, Pinney SJ. Current concept review: osteochondral lesions of the talus. Foot Ankle Int. 2010;31(1):90–101.
Mintz DN. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 2003;19(4):353–9.
Mori R. Clinical significance of magnetic resonance imaging (MRI) for focal chondral lesions. Magn Reson Imaging. 1999;17(8):1135–40.
O’Neill PJ, Van Aman SE, Guyton GP. Is MRI adequate to detect lesions in patients with ankle instability? Clin Orthop Relat Res. 2010;468(4):1115–9.
Potter HG. Magnetic resonance imaging of articular cartilage in the knee. An evaluation with use of fast-spin-echo imaging. J Bone Joint Surg Am. 1998;80(9):1276–84.
Pritsch M, Horoshovski H, Farine I. Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Am. 1986;68(6):862–5.
Recht MP. Abnormalities of articular cartilage in the knee: analysis of available MR techniques. Radiology. 1993;187(2):473–8.
Schneck CD. MR imaging of the most commonly injured ankle ligaments. Part I. Normal anatomy. Radiology. 1992;184(2):499–506.
Sugimoto K. Cartilage thickness of the talar dome. Arthroscopy. 2005;21(4):401–4.
Takao M. Arthroscopic assessment for intra-articular disorders in residual ankle disability after sprain. Am J Sports Med. 2005;33(5):686–92.
Tan TC. MR imaging of articular cartilage in the ankle: comparison of available imaging sequences and methods of measurement in cadavers. Skeletal Radiol. 1996;25(8):749–55.
Taranow WS, Bisignani GA, Towers JD, et al. Retrograde drilling of osteochondral fragments of the talar dome. Foot Ankle Int. 1999;20:474–80.
van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy. 1997;13(1):90–6.
van Dijk CN, Verhagen RA, Tol JL. Arthroscopy for problems after ankle fracture. J Bone Joint Surg Br. 1997;79(2):280–4.
Verhagen RA. Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? J Bone Joint Surg Br. 2005;87(1):41–6.
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Oji, D.E., McCall, D.A., Schon, L.C., Ferkel, R.D. (2014). Diagnosis of Osteochondral Defects by Arthroscopy. In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_5
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DOI: https://doi.org/10.1007/978-3-642-45097-6_5
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