Osteochondral lesions of the talar dome are a common cause of ankle disability. Management options are as numerous as the terms used to describe these lesions. The recognition of a traumatic etiology has increased our understanding and management of these disorders. Modern imaging technology has enhanced the ability to fully evaluate and accurately classify this lesion, which is fundamental for proper treatment.
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References
1.
. AlexanderA.H.LichtmanO.M.: Surgical treatment of transchondral talar dome fractures (osteochondritis dissecans). J. Bone Joint Surg., 62A: 646–652, 1980.
2.
. AlexanderI.J.WatsonJ.T.: Step-cut osteotomy of the medial malleolus for exposure of the medial ankle joint space. Foot Ankle, 11: 242–243, 1991.
3.
. AngermannP.JensenP.: Osteochondritis dissecans of the talus: long-term results of surgical treatment. Foot Ankle, 10: 161–163, 1989.
4.
. AxhausenG.: Zum Vorkommon des Abgrenzungsv organges am Fussgelenk. Zentralbl. Chir., 55: 322–327, 1928.
5.
. BauerM.JonssonK.LindenB.: Osteochondritis dissecans of the ankle. J. Bone Joint Surg., 69B: 93–96, 1987.
6.
. BerndtA.L.HartyM.: Transchondral fractures (osteochondritis dissecans) of the talus. J. Bone Joint Surg., 41A: 988–1020, 1959.
7.
. BlomJ.M.H.StrijkS.P.: Lesions of the trochlea tali. Radiol. Clin., 44: 387–393, 1975.
8.
. BosienW.R.StaplesO.S.RussellS.W.: Residual disability following acute ankle sprains. J. Bone Joint Surg., 37A: 1237–1243, 1955.
9.
. BurkusJ.K.SellaE.J.SouthwickW.O.: Occult injuries of the talus diagnosed by bone scan and tomography. Foot Ankle, 4: 316–324, 1984.
10.
. CampbellC.J.RanawatC.S.: Osteochondritis dissecans: the question of etiology. J. Trauma, 6: 201–219, 1966.
11.
. CanaleST.BeldingR.H.: Osteochondral lesions of the talus. J. Bone Joint Surg., 62A: 97–102, 1980.
12.
. DavidsonA.M.SteeleH.D.MacKenzieD.A.: A review of twenty-one cases of transchondral fracture of the talus. J. Trauma, 7: 378–413, 1967.
13.
. DeSmetA.A.FisherD.R.BurnsteinM.I.GrafB.LangeR.H.: Value of MR imaging in staging osteochondral lesions of the talus (osteochondritis dissecans). Am. J. Radiol., 154: 555–558, 1990.
14.
. DipaolaJ.D.NelsonD.W.ColvilleM.R.: Characterizing osteochondral lesions by magnetic resonance imaging. Arthroscopy, 7: 101–104, 1991.
15.
. FlickA.B.GouldN.: Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions. Foot Ankle, 5: 165–185, 1985.
16.
. FrankA.CohenP.BeaufilsP.LamoreJ.: Arthroscopic treatment of osteochondral lesions of the talar dome. Arthroscopy, 5: 57–61, 1989.
17.
. GoldstoneR.A.PisaniA.J.: Osteochondritis dissecans of the talus. N. Y. State J. Med., 65: 2487–2494, 1965.
18.
. KaprisM.: Weitere Beitrage zu traumatisch—mechanischen Entstehung der “spontanen” Knorpelablosungen (sogen. Osteochondritis dissecans). Dtsch. Z. Chir., 171: 13–29, 1922.
19.
. KonnigF.: Veber freie Korper in den Gelenken. Dtsch. Z. Chir., 27: 90–109, 1888.
20.
. McCulloughC.J.VenugopalV.: Osteochondritis of the talus: the natural history. Clin. Orthop., 144: 264–268, 1979.
21.
. MesgarzadehM.SapegaA.A.BonakdarpourA.ReveszG.MoyerR.A.MaurerA.H.AlburgerP.D.: Osteochondritis dissecans: analysis of mechanical stability with radiography, scintigraphy and MR imaging. Radiology, 165: 775–780, 1987.
22.
. MonroA.: Microgeologie, p. 236. Berlin, Th.Billroth, 1856.
23.
. MukherjeeS.K.YoungA.B.: Dome fracture of the talus. J. Bone Joint Surg., 55B: 319–326, 1973.
. NaumetzV.A.SchweigelJ.F.: Osteocartilaginous lesions of the talar dome. J. Trauma, 20: 924–927, 1980.
26.
. NewbergA.H.: Osteochondral fractures of the dome of the talus. Br. J. Radiol., 52: 105–109, 1979.
27.
. O'FarrellT.A.CostelloB.G.: Osteochondritis dissecans of the talus. The late results of surgical treatment. J. Bone Joint Surg., 64B: 494–497, 1982.
28.
. ParisienJ.S.: Arthroscopic treatment of osteochondral lesions of the talus. Am. J. Sports Med., 14: 211–217, 1986.
29.
. PetriP.W.R.: Aetiology of osteochondritis dissecans. J. Bone Joint Surg., 59B: 366–367, 1977.
30.
. PettineK.A.MorreyB.F.: Osteochondral fractures of the talus—a long-term follow-up. J. Bone Joint Surg., 69B: 89–92, 1987.
31.
. PritschM.HoroshouskiH.FarineI.: Arthroscopic treatment of osteochondral lesions of the talus. J. Bone Joint Surg., 68A: 862–865, 1986.
32.
. RayR.B.CoughlinE.J.: Osteochondritis dissecans of the talus. J. Bone Joint Surg., 29: 697–706, 1947.
33.
. RendoA.: Fracture intra-articulaire parcellaire de la poulie astraglienne. Lyon Med., 150: 220–222, 1932.
34.
. RynnM.FazekasE.A.HeckerR.L.: Osteochondral lesions of the talus. J. Foot Surg., 22: 155–158, 1983.
35.
. ScharlingM.: Osteochondritis dissecans of the talus. Acta Orthop. Scand., 49: 89–94, 1978.
36.
. SmithG.R.WinquistR.A.AllanN.K.NorthropC.H.: Subtle transchondral fractures of the talar dome: a radiological perspective. Diagn. Radiol., 124: 667–673, 1977.
37.
. SpattJ.F.FrankN.G.FoxI.M.: Transchondral fractures of the dome of the talus. J. Foot Surg., 25: 68–72, 1986.
38.
. ThompsonJ.P.LoomerR.L.Osteochondral lesions of the talus in a sports medicine clinic. Am. J. Sports Med., 12: 460–463, 1984.
39.
. VanbueckenK.BarrackR.L.AlexanderA.H.ErtlJ.P.: Arthroscopic treatment of transchondral talar dome fractures. Am. J. Sports Med., 17: 350–356, 1989.
40.
. WellsD.Oloff SolomonJ.: Radiographic evaluation of transchondral dome fractures of the talus. J. Foot Surg., 26: 186–193, 1987.
41.
. YuanH.A.CadyR.B.DeRosaC.: Osteochondritis dissecans of the talus associated with subchondral cysts. J. Bone Joint Surg., 61A: 1249–1251, 1979.
42.
. YuarsM.F.: Osteochondral fractures of the dome of the talus. Clin. Orthop., 114: 185–191, 1976.
43.
. YulishB.S.MulopulosG.P.GoodfellowD.B.BryanP.J.ModicM.T.DollingerB.M.: MR Imaging of osteochondral lesions of the talus. J. Comput. Assist. Tomogr., 11: 296–301, 1987.
44.
. ZinmanC.ReisN.D.: Osteochondritis dissecans of the talus: use of the high resolution computed tomography scanner. Acta Orthop. Scand., 53: 697–700, 1982.
