ABSTRAKLatar Belakang: Penyakit Osteochondral Lesion of the Talus (OLT) adalah kelainan pada tulang talus di lapisan subchondral yang berupa lesi osteochondral pada talar dome dengan konsekuensi abnormalitas pada tulang rawan sendi talar. Review artikel bertujuan menjabarkan patofisiologi dan tatalaksana OLT. Metode: Review artikel menggunakan literatur terkini yang relevan dengan topik OLT. Hasil: Pasien biasanya datang berobat ke tenaga kesehatan dengan keluhan yang tidak spesifik dan dengan gejala seperti nyeri pada pergelangan kaki, bengkak serta berkurangnya berkurangnya ruang gerak (range of movement). Penegakan diagnosis bisa dilakukan dengan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang sederhana seperti foto X-ray maupun pemeriksaan penunjang canggih seperti CT-Scan dan MRI. Tatalaksana pada OLT tergantung dari tahapan lesi, kronisitasnya, dan keluhan simtomatis yang menyertainya. Pasien dengan keluhan simtomatis yang akut dan non-displaced sering diberikan terapi konservatif dengan imobilisasi. Lesi yang tidak berhasil atau tidak menunjukkan perbaikan keluhan setelah 3 sampai 6 bulan, serta lesi dengan displacement dapat direncanakan untuk terapi operatif. Ada beberapa macam tehnik operatif yang dapat dilakukan untuk menyembuhkan OLT. Teknik operatif ini dapat dikategorikan menjadi cartilage repair, cartilage regeneration dan cartilage replacement techniques. Kesimpulan: OLT adalah lesiosteocondral pada talar dome yang dapat diterapi dengan terapi konservatif dan operatif cartilage repair, cartilage regeneration dan cartilage replacement techniques.Kata kunci: osteochondral lesion of the talus, patofisiologi, tatalaksana. ABSTRACT Background: Osteochondral Lesion of the Talus (OLT) is an abnormality in the talus bone in the subchondral layer in the form of osteochondral lesions in the talar dome with consequent abnormalities in the talar joint cartilage.This review wasa aimed to explain the pathophisiology and OLT management. Method: The litheratur review used recent literature suitable with OLT topics.Results: Patients usually come to a health care provider with nonspecific complaints and with symptoms such as pain in the ankles, swelling and reduced range of movement. The diagnosis can be made with a history taking, physical examination and simple investigations such as X-rays and sophisticated investigations such as CT-Scan and MRI. The management of OLT depends on the stage of the lesion, its chronicity, and the accompanying symptomatic complaints. Patients with acute and non-displaced symptomatic complaints are often given conservative therapy with immobilization. Lesions that are unsuccessful or show no improvement in symptomatic complaints after 3 to 6 months and lesions with displacement can be planned for operative therapy. There are several types of operative techniques that can be done to cure OLT. These operative techniques can be categorized into cartilage repair, cartilage regeneration, and cartilage replacement techniques. Conclusion: OLT is osteocondral lesion at talar dome can ...

Shoulder pain is a major complaint of patients with clavicle fractures as a result of trauma. At present most clavicle fracture treatments are performed surgery, although conservative therapy can produce the same results. This report aimed to show whether there were complaints of shoulder pain or disability in patients who have suffered clavicle fractures treated conservatively. There were fifteen patients with clavicle fractures at Dr. Soetomo Surabaya from January to July 2015, consisting of 14 male and one female patient. Data was taken from medical records, patient clinical records, home visits, physical examinations, SPADI questionnaires, and Quick DASH for patients. The results of SPADI questionnaire were varied; there were eight patients (53%) with an output of 0%, one patient (7%) each with a score of 0.63%, 1.25%, 5.90%, 7.13%, 8.50%, 9.90%, and a score of 10.50%. The results of calculating the Quick DASH questionnaire score also varied. There were ten patients (67%) with a score of 0, three patients (20%) with a score of 2.27, one patient (7%) with a score of 13.6, and one patient (6%) with a score of 6.81. In conclusion: (1) From the evaluation of 15 patients, there were no complaints of pain and disability in the shoulder joint. (2) From the evaluation of the results of the calculation of the SPADI questionnaire and Quick DASH, there were no significant complaints of shoulder joint pain and disability. (3) The conservative treatment of closed fractures on the clavicle can still be a reliable choice of treatment. Keywords                 : Clavicle fractures, shoulder pain, conservative clavicle.Correspondence to: brijurnalqanun@gmail.com