Abstract
Osteochondral lesions in the foot mostly affect the talus and involve talar cartilage due to bone injury or degeneration. Compaction, shearing, or avulsion trauma usually causes the lesions, with 6% of ankle sprains leading to osteochondral lesions. Treatment includes a combination of conservative treatment and surgery when symptoms persist to prevent the progression of osteoarthritis. This chapter describes and illustrates the clinical characteristics, classification, and imaging findings of osteochondral lesions on X-ray, bone SPECT/CT, and MRI using case material.
References
Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 2004;86(6):1336.
Bhure U, et al. SPECT/CT arthrography. Br J Radiol. 2018;91(1082):20170635.
Bhure U, et al. Single-photon emission computed tomography/computed tomography arthrography of wrist, ankle, and knee joints. Nucl Med Commun. 2020;41(3):182–8.
Dordevic M, et al. Do chondral lesions of the knee correlate with bone tracer uptake by using SPECT/CT? Radiology. 2016;278(1):223–31.
Hepple S, Winson IG, Glew D. Osteochondral lesions of the talus: a revised classification. Foot Ankle Int. 1999;20(12):789–93.
Kirschke JS, et al. Diagnostic value of CT arthrography for evaluation of osteochondral lesions at the ankle. Biomed Res Int. 2016;2016:3594253.
Krause F, Anwander H. Osteochondral lesion of the talus: still a problem? EFORT Open Rev. 2022;7(6):337–43.
Meftah M, et al. SPECT/CT in the management of osteochondral lesions of the talus. Foot Ankle Int. 2011;32(3):233–8.
Mintz DN, et al. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 2003;19(4):353–9.
Tamam C, et al. Diagnostic value of single-photon emission computed tomography combined with computed tomography in relation to MRI on osteochondral lesions of the talus. Nucl Med Commun. 2015;36(8):808–14.
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Strobel, K., Bhure, U., Hany, T.F., Van den Wyngaert, T. (2023). Foot: Osteochondral Lesions. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_44
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DOI: https://doi.org/10.1007/978-3-031-26449-8_44
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