Mirror image osteochondral defects of the talus and distal tibia

Canosa, Jesús Luis Saleta

doi:10.1007/bf00187090

Cited by 28 publications

(23 citation statements)

References 4 publications

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“…41,42 It is therefore important to inspect the tibial plafond routinely and systematically even in patients with a talar lesion, for so-called mirror images or kissing lesions. 29,30,43 We found five kissing lesions in 104 ankles (5%), which is comparable with findings in other studies. 44 Diagnostic arthroscopy was statistically significantly better than HPX and the mortise view.…”

Section: Discussionsupporting

confidence: 91%

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Prospective study on diagnostic strategies in osteochondral lesions of the talus

Verhagen

Maas²,

Dijkgraaf³

et al. 2005

The Journal of Bone and Joint Surgery. British volume

252

156

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Our aim in this prospective study was to determine the best diagnostic method for discriminating between patients with and without osteochondral lesions of the talus, with special relevance to the value of MRI compared with the new technique of multidetector helical CT. We compared the diagnostic value of history, physical examination and standard radiography, a 4 cm heel-rise view, helical CT, MRI, and diagnostic arthroscopy for simultaneous detection or exclusion of osteochondral lesions of the talus. A consecutive series of 103 patients (104 ankles) with chronic ankle pain was included in this study. Of these, 29 with 35 osteochondral lesions were identified. Twenty-seven lesions were located in the talus.Our findings showed that helical CT, MRI and diagnostic arthroscopy were significantly better than history, physical examination and standard radiography for detecting or excluding an osteochondral lesion. Also, MRI and diagnostic arthroscopy performed better than a mortise view with a 4 cm heel-rise. We did not find a statistically significant difference between helical CT and MRI. Diagnostic arthroscopy did not perform better than helical CT and MRI for detecting or excluding an osteochondral lesion.

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Section: Discussionsupporting

confidence: 91%

“…In six a talar lesion was also present, of which five were kissing lesions. 29,30 No isolated tibial osteochondral lesion was identified on HPX. Helical CT identified five tibial lesions correctly.…”

Section: Resultsmentioning

confidence: 99%

Prospective study on diagnostic strategies in osteochondral lesions of the talus

Verhagen

Maas²,

Dijkgraaf³

et al. 2005

The Journal of Bone and Joint Surgery. British volume

252

156

View full text Add to dashboard Cite

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“…The cartilage may remain intact, overlying damaged bone. 3 Presentation is variable, and imaging and management are very much medical center-dependent.…”

mentioning

confidence: 99%

Osteochondral Lesions of the Talus

Roach

2003

Journal of the American Podiatric Medical Association

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Knowledge of osteochondral lesions of the talus parallels that of similar lesions affecting the knee in many respects. Morbidity can be significant, and a variety of diagnostic and surgical techniques have been described. Although these lesions are significant for all patients, in athletic individuals they may bring about the end of their sporting careers. Fragment stability remains critical in the management of these injuries. With advances in diagnostic methods and further specialization in arthroscopy, outcomes will continue to improve.

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“…The condition was first described by Sir James Paget in 1870 and the term osteochondritis dissecans was coined by Kö nig some 7 years ( Dickson & Sartoris, 1991;Dipaola et al, 1991;Canosa, 1994;Woods & Harris, 1995;Dolan et al, 1997;Iannacone & Dalton, 1997;Higuera et al, 1998). Other ankle locations, including the calcaneus (Nafei et al, 1990), the navicular (Richter et al, 1985;Walther-Larsen & Larsen, 1985;Exner et al, 1991) and the cuboid (Anderson, 2000) are extremely rare.…”

Section: Discussionmentioning

confidence: 99%

An example of unhealed osteochondritis dissecans of the medial cuneiform

Anderson¹

2001

Intl J of Osteoarchaeology

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One hundred and thirty-six well-preserved medieval skeletons were excavated in advance of redevelopment in Norwich. A 13 -15-year-old displayed a large circular defect on the distal articular surface of the right medial cuneiform. This is considered to be an example of unhealed osteochondritis dissecans. The atypical site, apparently the first published case of osteochondritis dissecans involving this bone in either archaeological or clinical material, has prompted this short note.

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Mirror image osteochondral defects of the talus and distal tibia

Abstract: We describe a patient with an osteochondral defect of the talus and a mirror image lesion of the adjacent tibial plafond. Modification of the existing classification of osteochondral fractures of the talus may be necessary to describe such lesions.

Cited by 28 publications

References 4 publications

Prospective study on diagnostic strategies in osteochondral lesions of the talus

Prospective study on diagnostic strategies in osteochondral lesions of the talus

Osteochondral Lesions of the Talus

An example of unhealed osteochondritis dissecans of the medial cuneiform

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