keyword
https://read.qxmd.com/read/38340961/retroarticular-drilling-for-osteochondritis-dissecans-of-the-talus-a-systematic-review
#1
REVIEW
Rémi Pelletier Roy, Ylan Tran, Géraldine Merle, Marie-Lyne Nault
BACKGROUND: Opinions differ on the optimal treatment for stable talar osteochondritis dissecans (OCD) with intact cartilage. Some recommend conservative management, while others prefer surgical care which includes debridement and micro-fractures, transarticular drilling through a direct or medial malleolus approach and retroarticular drilling. The rationale behind retroarticular drilling is to induce bone marrow healing without touching the intact cartilage. The goal of this systematic review is to summarize the clinical outcomes of retroarticular drilling as a standalone procedure for stable talar OCD with intact cartilage...
February 8, 2024: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/38260824/top-50-most-cited-studies-about-osteochondritis-dissecans
#2
JOURNAL ARTICLE
Nicholas D Thomas, Raegan Mahler, Kylie Krombholz, Brendan Williams, Ted Ganley, Jeffrey J Nepple, Kevin Shea
PURPOSE: To determine the 50 most frequently cited studies on osteochondritis dissecans (OCD) and to conduct a bibliometric analysis of these studies. METHODS: We performed a search within the Clarivate Web of Science database, identifying articles published before December 2022 that encompass topics related to OCD. The search was conducted using the keywords "Osteochondritis Dissecans OR Osteochondritis OR Dissecans."Search results were then filtered using predetermined guidelines and criteria, and the 50 most-cited articles were selected for analysis...
February 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/37855854/how-accurate-is-mri-for-diagnosing-tarsal-coalitions-a-retrospective-diagnostic-accuracy-study
#3
JOURNAL ARTICLE
Adrian A Marth, Georg C Feuerriegel, Roy P Marcus, Reto Sutter
OBJECTIVES: This study aimed to evaluate the diagnostic accuracy, inter-reader agreement, and associated pathologies on MR images of patients with confirmed TC. METHODS AND MATERIALS: In this retrospective study, 168 ankle MRI exams were included, consisting of 56 patients with clinically or surgically confirmed TC and 112 controls without TC, matched for age and sex. Images were analyzed independently by three radiologists blinded to clinical information. The evaluation criteria included the presence, type, and location of TC, as well as associated pathologies...
October 19, 2023: European Radiology
https://read.qxmd.com/read/37807338/bone-marrow-concentration-in-combination-with-hyaluronan-and-fibrin-for-the-treatment-of-primary-and-non-primary-in-orthopaedic-cases-of-osteochondral-defects-of-the-ankle
#4
JOURNAL ARTICLE
Yang Li, Jun Wang, Ridong Tao, Xinwei Zhang
This research examined the effects of varying amounts of fibrinogen (the fibrin precursor) and HA-MA on mechanical strength, BMSC proliferation, and chondrogenesis potential in vitro. In order to start a culture, fibrinogen, aprotinin, doxycycline, and HA-MA were well mixed in 200 L of AMEM containing 1% (w/v) photoinitiator. In order to produce a fibrin gel, thrombin was used at 1, 3,5, and 7 days after implantation, live/dead staining and a metabolic-activity test were used to examine the viability and proliferation of BMSCs inside fibrin/HA-MA...
September 30, 2023: Cellular and Molecular Biology
https://read.qxmd.com/read/37575750/incidence-of-injuries-associated-with-anterior-talofibular-ligament-injury-based-on-the-reporting-of-magnetic-resonance-imaging
#5
JOURNAL ARTICLE
Don Koh, Darshana Chandrakumara, Charles Kon Kam King
Introduction This paper aims to report the incidence of ligamentous, tendon, and other structural injuries associated with an anterior talofibular ligament (ATFL) injury based on magnetic resonance imaging (MRI) findings. Methods The reports of all patients who underwent surgical treatment for ATFL injury between 2021 and 2022 at Changi General Hospital and had preoperative MRI ankle scans performed were analyzed in this retrospective study. Patients who had a preoperative MRI ankle scan performed with specific reporting of the ATFL, calcaneofibular ligament (CFL), deltoid ligaments, peroneal tendons, and the presence of an osteochondral defect (OCD) were included in this study...
July 2023: Curēus
https://read.qxmd.com/read/37521379/case-report-of-an-osteochondral-lesion-of-the-first-metatarsal-head-in-an-adolescent-patient-treated-by-autograft-mosaicplasty-surgical-technique-and-decision-making-rationale
#6
Joana Arcângelo, Eduardo Ramalho Silva, Susana Norte, Francisco Sant'anna, Monika Thüsing, Manuel Cassiano Neves
INTRODUCTION: First metatarsophalangeal (MTP) joint mobility is critical to a normal gait pattern; therefore, osteochondral defects (OCDs) of the first metatarsal head should be treated promptly to avoid functional limitation and progression to hallux rigidus. <15 cases of OCDs of the first MTP joint in the pediatric population, predominantly adolescents, have been published so far. The purpose of this article is to present a rare case of an adolescent first MTP joint OCD treated by the technique of autograft osteochondral mosaicplasty, which has been commonly used for OCDs of the knee and talus but scarcely described for the first MTP joint...
July 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37236361/trauma-induced-spontaneous-union-of-a-talar-osteochondritis-dissecans-case-report
#7
Margot B Aalders, Jari Dahmen, Gino M M J Kerkhoffs
We encountered a case of an 18-year-old woman with persisting ankle pain after a healed Weber-B fracture. Additional imaging through a computed tomography (CT) scan revealed a fully united fragmentous OLT (17mm x 9mm x 8 mm) of the right ankle - as opposed to a non-united OLT when the fracture was diagnosed nineteen months prior to the presentation. Our proven hypothesis is that the fragmented OLT was non-symptomatic for many years, based on an osteochondritis dissecans (OCD). The ipsilateral ankle trauma induced a fresh fracture in the interface between the talus and the fragmented OLT, and consequently the destabilized fragmented OLT became symptomatic...
May 24, 2023: Journal of ISAKOS
https://read.qxmd.com/read/36791713/bilateral-osteochondritis-dissecans-of-the-shoulder
#8
JOURNAL ARTICLE
Barbara J C Favier, Daniël M C Janssen
Osteochondritis dissecans as a pathology is pre-dominantly described in the knee, elbow and ankle. Osteochondritis dissecans of the humeral head is a more uncommon reported injury. We present a case of a bilateral osteochondritis dissecans of the humeral head in a 16-year-old soccer player and an algorithm for treatment of OCD of the humeral head. To our knowledge this has never been described so specifically in literature before.
September 2022: Acta Orthopaedica Belgica
https://read.qxmd.com/read/36790535/outcomes-of-a-novel-all-inside-arthroscopic-anterior-talofibular-ligament-repair-for-chronic-ankle-instability
#9
JOURNAL ARTICLE
Ziyi Chen, Xiao'ao Xue, Qiaoru Li, Yujie Song, Hanlin Xu, Wenjuan Wang, Yinghui Hua
PURPOSE: This study aimed to introduce a novel all-inside arthroscopic anterior talofibular ligament (ATFL) repair for chronic ankle instability (CAI) with a knotless suture anchor technique-Hugging Repair, evaluate clinical outcomes, and analyze the associated risk factors. METHODS: A total of 84 patients (42 males and 42 females, mean age: 36.1 ± 11.2 years, range: 19-68 years) who underwent Hugging Repair from January 1, 2016 to December 31, 2018, were enrolled in this retrospective study...
February 15, 2023: International Orthopaedics
https://read.qxmd.com/read/36710171/youtube-provides-low-quality-videos-about-talus-osteochondral-lesions-and-their-arthroscopic-treatment
#10
JOURNAL ARTICLE
Ali Yuce, Onur Oto, Abdurrahman Vural, Abdulhamit Misir
BACKGROUND: Medical professionals and patients commonly use the YouTubeTM platform in their research on health information. The quality of videos about talus osteochondral defect (OCD) and arthroscopic surgery has not been evaluated previously. The aim of this study was to interpret the quality and sufficiency of YouTubeTM videos about talus OCD and arthroscopic surgery. METHODS: The present study is a quality control study of videos on OCD and their arthroscopic treatment...
January 13, 2023: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/36687487/a-reminder-for-chronic-ankle-pain-case-report-of-talar-osteoid-osteoma-with-late-diagnosis
#11
Arman Vahabi, Rıza Berker Özbek, Emin Taşkıran
BACKGROUND: Talus osteoid osteomas are often overlooked. This pathology, which can cause chronic ankle pain, should be kept in mind when evaluating differential diagnoses. CASE REPORT: A 21-year-old female applied to our clinic with chronic ankle pain diagnosed as talus OCD. The patient's pain was refractory to non-operative treatments. The detection of talar osteoid osteoma is delayed due to atypical radiologic findings and coexistent osteochondral lesion of talus...
August 2022: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/35936851/osteochondral-allograft-transplantation-of-the-lateral-femoral-condyle-and-distal-femoral-osteotomy-in-the-setting-of-failed-osteochondritis-dissecans-fixation
#12
JOURNAL ARTICLE
Hasani W Swindell, Benjamin Kerzner, Obianuju A Obioha, Luc M Fortier, Zeeshan A Khan, Suhas P Dasari, Enzo S Mameri, Pablo E Gelber, Jorge Chahla
Osteochondritis dissecans (OCD) is a pathologic condition, most commonly affecting the knee joint in adolescents and young adults, although pathology can also be found at the elbow and ankle. Lesions to the medial femoral condyle are classically associated with varus alignment, while lesions to the lateral femoral condyle are seen in patients with valgus malalignment. Common risk factors for failed fixation of OCD lesions include unstable lesions to the lateral femoral condyle, screw breakage, older age, and closed physes...
July 2022: Arthroscopy Techniques
https://read.qxmd.com/read/35764334/unstable-gynaecological-patient-with-an-ankle-monitor-implications-of-us-immigration-and-customs-enforcement-s-alternatives-to-detention-programme-in-the-healthcare-setting
#13
JOURNAL ARTICLE
Anna Pancheshnikov, Rohini Boddu, Leonard S Rubenstein, C Nicholas Cuneo
We review the case of an unstable gynaecological patient in the USA who presented with profuse vaginal bleeding after spontaneous miscarriage and was ultimately diagnosed with a uterine arteriovenous malformation managed with interventional radiology embolisation of her uterine artery. Her case was complicated by the presence of an ankle monitoring device which had been placed by US Immigration and Customs Enforcement as part of the Alternatives to Detention programme in which she was enrolled during her immigration proceedings...
June 28, 2022: BMJ Case Reports
https://read.qxmd.com/read/35615459/gel-based-autologous-chondrocyte-implantation-in-a-patient-with-noncontained-osteochondral-knee-defect-at-9-year-follow-up
#14
Ujjval Deliwala, Sumit Jain Sethia
Osteochondritis dissecans (OCD) is a disorder of the subchondral bone affecting the adjacent articular cartilage that may lead to cartilage and bone fragment detachment. It commonly occurs in the knee joint, elbow, wrist, and ankle. Although several surgical concepts have been described to treat OCD (fragment fixation, microfracture, autologous chondrocyte implantation (ACI), and mosaicplasty), no gold standard treatment has been accepted for managing OCD. Multiple factors like age, stability of defect, and defect size should be considered while selecting a specific treatment for OCD...
2022: Case Reports in Orthopedics
https://read.qxmd.com/read/35077288/osteochondritis-dissecans-of-the-patella-a-case-report-in-a-juvenile-football-player
#15
JOURNAL ARTICLE
Patrícia Cruz, Filipe Bettencourt, Gonçalo Arneiro
Osteochondritis dissecans (OCD) lesions are a rare cause of joint pain. Most often they occur in the knee, but they can occur in elbow or ankle too. They have a predilection for the immature skeleton and are most commonly seen in male sex, athletically active young children and adolescents.Sport-specific risk factors by anatomic region include sports associated with high frequencies of knee or ankle injuries (e.g., football, basketball) and for the elbow, the overhead throwing athlete (e.g., baseball pitcher) or gymnast...
August 2021: Science & medicine in football
https://read.qxmd.com/read/34949541/risk-factors-for-total-ankle-arthroplasty-failure-a-dutch-arthroplasty-register-study
#16
JOURNAL ARTICLE
J P S Hermus, S M J van Kuijk, A Spekenbrink-Spooren, M A Witlox, M Poeze, L W van Rhijn, J J C Arts
BACKGROUND: Studies concerning total ankle arthroplasty could be influenced by several forms of bias. Independent national arthroplasty registries represent objective data on survival and patient reported outcomes. The aim of this study was to determine survival and identify risk factors for early failure in a nationwide series of total ankle arthroplasties from the Dutch Arthroplasty Register (LROI). PATIENTS AND METHODS: Data of 810 patients, who received 836 total ankle arthroplasties between 2014 and 2020 were obtained from the Dutch Arthroplasty Register (LROI) with a median follow-up of 38 months (range 1-84 months)...
December 9, 2021: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/34809789/pediatric-osteochondritis-dissecans-of-the-talus
#17
REVIEW
Mark J Mendeszoon, Hayley E Iosue
OCDs of the ankle are the third most common lesion in the body and a physician should include this in the differential while evaluating the pediatric population with the history of injury and/or pain in the ankle. Pain, stiffness, and swelling are the most common presenting complaints about the pediatric and adolescent patients with an OCD. Conservative treatment options should be attempted before attempting surgical intervention. Multiple surgical procedures exist to manage the lesion based on location, size, and other factors...
January 2022: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/34805420/predicting-outcomes-of-talar-osteochondritis-dissecans-lesions-in-children
#18
JOURNAL ARTICLE
Mitchell A Johnson, Kunbo Park, Divya Talwar, Kathleen J Maguire, J Todd R Lawrence
BACKGROUND: Reports detailing the rates of radiographic healing after treatment of talar osteochondritis dissecans (TOCD) remain scarce. There is also a paucity of data characterizing treatment outcomes and the risk factors associated with poor outcomes in children with TOCD. PURPOSE: To identify factors associated with healing, assess treatment outcomes, and develop a clinically useful nomogram for predicting healing of TOCD in children. STUDY DESIGN: Case-control study; Level of evidence, 3...
November 2021: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/34432092/the-ankle-spacer-a-hemiarthroplasty-for-treatment-of-severe-osteochondral-defects-of-the-talus
#19
JOURNAL ARTICLE
Matthias Lerch, Daiwei Yao, Sarah Ettinger, Leif Claassen, Christian Plaass, Christina Stukenborg-Colsman
OBJECTIVE: The Ankle Spacer system has been developed as a joint-preserving option for patients with failed treatment of large talar osteochondral defects (OCDs). It is a one-piece implant system that replaces the articulating upper talus surface of the tibiotalar joint. INDICATIONS: Large OCDs with failed prior surgical intervention(s) and/or multiple talar OCDs on the talar surface, posttraumatic or degenerative osteoarthritis, or avascular necrosis of the talus...
February 2022: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/34330660/outcome-of-retroarticular-drilling-for-osteochondritis-dissecans-of-the-talus-in-a-pediatric-population
#20
JOURNAL ARTICLE
Xue Wei Tan, Nabih Joukhadar, Stéphane Leduc, Carl-Éric Aubin, Mathilde Hupin, Marie-Lyne Nault
BACKGROUND: Outcomes of bone marrow stimulation for osteochondritis dissecans (OCD) of the talus in pediatric patients is not optimal. The objective was to evaluate the retroarticular drilling technique for talar OCD. METHODS: A retrospective case-series study of pediatric cases treated for talar OCD with retroarticular drilling was done. Clinical and radiological outcome scores were recorded as follows: the percentage of patients who had a successful treatment, the percentage for every category of the Berndt and Harty treatment result grading and the percentage for every radiographical outcome score were computed...
July 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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