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Ankle ocd

M Aurich, D Albrecht, P Angele, C Becher, S Fickert, J Fritz, P E Müller, P Niemeyer, M Pietschmann, G Spahn, M Walther
Background: Osteochondral lesions (OCL) of the ankle are a common cause of ankle pain. Although the precise pathophysiology has not been fully elucidated, it can be assumed that a variety of factors are responsible, mainly including traumatic events such as ankle sprains. Advances in arthroscopy and imaging techniques, in particular magnetic resonance imaging (MRI), have improved the possibilities for the diagnosis of OCLs of the ankle. Moreover, these technologies aim at developing new classification systems and modern treatment strategies...
October 21, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Hayri Ogul, Yunus Guzel, Berhan Pirimoglu, Kutsi Tuncer, Gokhan Polat, Fatih Ergun, Recep Sade, Ummugulsum Bayraktutan, Ihsan Yuce, Mecit Kantarci
PURPOSE: To evaluate the tibiotalar joint capacity and the localisation, frequency and amount of extravasation in patients with extraarticular contrast material leakage into adjacent synovial compartments on ankle magnetic resonance (MR) arthrography. MATERIALS AND METHODS: Sites of extravasation were determined in the ankle MR arthrograms of 69 patients. Thirty-four patients without extraarticular contrast material leakage into locations unrelated to the injection path were included as a control group...
October 2016: European Journal of Radiology
N Tümer, L Blankevoort, M van de Giessen, M P Terra, P A de Jong, H Weinans, G J M Tuijthof, A A Zadpoor
OBJECTIVE: The etiology of osteochondral defects (OCDs), for which the ankle (talocrural) joint is one of the common sites, is not yet fully understood. In this study, we hypothesized that bone shape plays a role in development of OCDs. Therefore, we quantitatively compared the morphology of the talus and the distal tibia between an OCD group and a control group. METHODS: The shape variations of the talus and distal tibia were described separately by constructing two statistical shape models (SSMs) based on the segmentation of the bones from ankle computed tomography (CT) scans obtained from control (i...
August 3, 2016: Osteoarthritis and Cartilage
Safiye Tokgoz Ozal, Ahmet Akca, Emin Cakmakci
PURPOSE: We aimed to evaluate the relationship between talar osteochondral defects (OCDs) and foot angles in this study. MATERIALS AND METHODS: We performed a retrospective study that included 25 patients with talar OCD and 29 patients without OCD who underwent magnetic resonance imaging in our department between September 2013 and January 2015. We retrospectively measured the foot angles (Bohler's angle, lateral talocalcaneal angle and calcaneal inclination angle) on ankle radiographs in both groups...
October 2016: La Radiologia Medica
Jennifer M Weiss, Hooman Nikizad, Kevin G Shea, Samvel Gyurdzhyan, John C Jacobs, Peter C Cannamela, Jeffrey I Kessler
BACKGROUND: The frequency of osteochondritis dissecans (OCD), a disorder of the subchondral bone and articular cartilage, is not well described. PURPOSE: To assess the frequency of pediatric OCD lesions that progress to surgery based on sex, joint involvement, and age. STUDY DESIGN: Descriptive epidemiology study. METHODS: A retrospective chart review (2007-2011) was performed on OCD. Inclusion criteria included OCD of any joint and patients aged 2 to 19 years...
March 2016: Orthopaedic Journal of Sports Medicine
Mikel L Reilingh, Christiaan J A van Bergen, Rogier M Gerards, Inge C van Eekeren, Rob J de Haan, Inger N Sierevelt, Gino M M J Kerkhoffs, Rover Krips, Duncan E Meuffels, C N van Dijk, Leendert Blankevoort
BACKGROUND: Osteochondral defects (OCDs) of the talus usually affect athletic patients. The primary surgical treatment consists of arthroscopic debridement and microfracture. Various possibilities have been suggested to improve the recovery process after debridement and microfracture. A potential solution to obtain this goal is the application of pulsed electromagnetic fields (PEMFs), which stimulate the repair process of bone and cartilage. HYPOTHESIS: The use of PEMFs after arthroscopic debridement and microfracture of an OCD of the talus leads to earlier resumption of sports and an increased number of patients that resume sports...
May 2016: American Journal of Sports Medicine
I C M van Eekeren, C J A van Bergen, I N Sierevelt, M L Reilingh, C N van Dijk
PURPOSE: Osteochondral defects (OCD) often have a severe impact on the quality of life due to deep ankle pain during and after weight bearing, which prevents young patients from leading an active life. Arthroscopic debridement and bone marrow stimulation are currently the gold standard treatment. The purpose of this study was to evaluate the number of patients that resume and maintain sports to their pre-injury activity level after arthroscopic debridement and bone marrow stimulation...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
M L Reilingh, C J A van Bergen, L Blankevoort, R M Gerards, I C M van Eekeren, G M M J Kerkhoffs, C N van Dijk
PURPOSE: The primary surgical treatment of osteochondral defects (OCD) of the talus is arthroscopic debridement and microfracture. Healing of the subchondral bone is important because it affects cartilage repair and thus plays a role in pathogenesis of osteoarthritis. The purpose of this study was to evaluate the dimensional changes and bony healing of talar OCDs after arthroscopic debridement and microfracture. METHODS: Fifty-eight patients with a talar OCD were treated with arthroscopic debridement and microfracture...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Nazli Sarkalkan, Arjo J Loeve, Koen W A van Dongen, Gabrielle J M Tuijthof, Amir A Zadpoor
(Osteo)chondral defects (OCDs) in the ankle are currently diagnosed with modalities that are not convenient to use in long-term follow-ups. Ultrasound (US) imaging, which is a cost-effective and non-invasive alternative, has limited ability to discriminate OCDs. We aim to develop a new diagnostic technique based on US wave propagation through the ankle joint. The presence of OCDs is identified when a US signal deviates from a reference signal associated with the healthy joint. The feasibility of the proposed technique is studied using experimentally-validated 2D finite-difference time-domain models of the ankle joint...
December 24, 2014: Sensors
Giacomo Zanon, Giovanni DI Vico, Matteo Marullo
Osteochondritis dissecans (OCD) is an acquired idiopathic lesion of subchondral bone that can produce delamination and sequestration with or without articular cartilage involvement and instability. The cause of OCD is still debated: the most recognized etiology is the occurrence of repetitive micro-traumas associated with vascular impairment, causing progressive ankle pain and dysfunction in skeletally immature and young adult patients. Ankle OCD is classically located in the medial part of the talus, while lateral and posterior involvement is less frequent...
July 2014: Joints
Alberto Benussi, Antonella Alberici, Enrico Premi, Valeria Bertasi, Maria Sofia Cotelli, Marinella Turla, Andrea Dardis, Stefania Zampieri, Eleonora Marchina, Barbara Paghera, Francesca Gallivanone, Isabella Castiglioni, Alessandro Padovani, Barbara Borroni
We report the case of Niemann-Pick disease type C with extensive phenotypic heterogeneity in two monozygotic twins. One of the twins presented with a history of obsessive-compulsive disorder and slowly progressive inferior limb clumsiness, dysphagia and dysarthria. Neurological examination revealed a broad-based ataxic gait, limb dysmetria, downward vertical gaze palsy, brisk lower limb reflexes and ankle clonus, while neuropsychological assessment revealed global cognitive deficits in multiple domains. Complete neurological and neuropsychological evaluation in the asymptomatic monozygotic twin brother only revealed mild neurological impairment...
March 2015: Journal of Neurology
Graham Seow Hng Goh, Hamid Rahmatullah Bin Abd Razak, Amit Kanta Mitra
Arthroscopic treatment of osteochondritis dissecans (OCD) of the talus has resulted in outcomes as good as, or better than, those after arthrotomy. We noted a lack of prospective studies investigating the outcomes of arthroscopic treatment. As such, we conducted a prospective study investigating the functional outcomes, pain scores, patient satisfaction, and expectation scores of patients undergoing arthroscopic treatment of OCD of the talus, hypothesizing that these patients would have good outcomes and satisfaction...
January 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Dennis E Kramer, Michael P Glotzbecker, Benjamin J Shore, David Zurakowski, Yi-Meng Yen, Mininder S Kocher, Lyle J Micheli
BACKGROUND: There is a paucity of published literature on operative management of osteochondritis dissecans (OCD) in the ankle in adolescents. This study seeks to elucidate patient and lesion characteristics associated with surgical success and failure as well as reporting functional outcomes. METHODS: Retrospective chart review identified all patients aged 18 years old or younger surgically treated for OCD of the ankle at our institution from 2001 to 2010. This included 109 ankles in 100 patients (75 female, 25 male), mean age 14...
October 2015: Journal of Pediatric Orthopedics
A C Kok, M P Terra, S Muller, C Askeland, C N van Dijk, G M M J Kerkhoffs, G J M Tuijthof
Talar osteochondral defects (OCDs) are imaged using magnetic resonance imaging (MRI) or computed tomography (CT). For extensive follow-up, ultrasound might be a fast, non-invasive alternative that images both bone and cartilage. In this study the potential of ultrasound, as compared with CT, in the imaging and grading of OCDs is explored. On the basis of prior CT scans, nine ankles of patients without OCDs and nine ankles of patients with anterocentral OCDs were selected and classified using the Loomer CT classification...
October 2014: Ultrasound in Medicine & Biology
Jeffrey I Kessler, Jennifer M Weiss, Hooman Nikizad, Samvel Gyurdzhyan, John C Jacobs, Judith D Bebchuk, Kevin G Shea
BACKGROUND: Osteochondritis dissecans (OCD) of the ankle is a disorder of the talar or distal tibial subchondral bone and articular cartilage whose incidence in children is not clearly known. PURPOSE: To assess the demographics and epidemiology of OCD of the ankle in children. STUDY DESIGN: Descriptive epidemiologic study. METHODS: A retrospective chart review of an integrated health system was conducted on patients with ankle OCD aged 2 to 19 years from 2007 to 2011, with >1 million patients in this cohort...
September 2014: American Journal of Sports Medicine
Hagen Schmal, Gian M Salzmann, Philipp Niemeyer, Elia Langenmair, Renfeng Guo, Conny Schneider, Maria Habel, Niels Riedemann
Cytokine regulation possibly influences long term outcome following ankle fractures, but little is known about synovial fracture biochemistry. Eight patients with an ankle dislocation fracture were included in a prospective case series and matched with patients suffering from grade 2 osteochondritis dissecans (OCD) of the ankle. All fractures needed external fixation during which joint effusions were collected. Fluid analysis was done by ELISA measuring aggrecan, bFGF, IL-1 β, IGF-1, and the complement components C3a, C5a, and C5b-9...
2014: BioMed Research International
Hagen Schmal, Ingo H Pilz, Ralf Henkelmann, Gian M Salzmann, Norbert P Südkamp, Philipp Niemeyer
BACKGROUND: Reliable data about in vivo regulation of cytokines in osteochondritis dissecans (OCD) of the ankle are still missing. Disease-specific regulation patterns were hypothesized. METHODS: 28 patients with a mean age of 30.7 ± 14.8 years undergoing an arthroscopy of the ankle because of OCD were prospectively included in a clinical trial. Lavage fluids were analyzed by ELISA for levels of aggrecan, BMP-2, BMP-7, IGF-1, IGF-1R, bFGF, endoglin, MMP-13, and IL-1β...
2014: BMC Musculoskeletal Disorders
Hongyue Tao, Xiliang Shang, Rong Lu, Hong Li, Yinghui Hua, Xiaoyuan Feng, Shuang Chen
OBJECTIVES: To quantitatively evaluate cartilage repair after microfracture (MF) for ankle osteochondritis dissecans (OCD) using MRI and analyse correlations between MRI and clinical outcome. METHODS: Forty-eight patients were recruited and underwent MR imaging, including 3D-DESS, T2-mapping and T2-STIR sequences, and completed American Orthopaedic Foot and Ankle Society (AOFAS) scoring. Thickness index, T2 index of repair tissue (RT) and volume of subchondral bone marrow oedema (BME) were calculated...
August 2014: European Radiology
Stephen A Brigido, Nicole M Protzman, Melissa M Galli, Scott T Bleazey
UNLABELLED: Cystic talar shoulder defects are particularly challenging osteochondral lesions. A retrospective chart review was performed on 13 adults that previously failed microfracture, presented with medial cystic osteochondral lesions of the talus, and were treated with malleolar osteotomy and subchondral allograft reconstruction. The aim of the study was to evaluate the effect of a medial malleolar osteotomy and allograft subchondral bone plug on pain and function. We hypothesized that following surgery, pain and function would significantly improve...
October 2014: Foot & Ankle Specialist
Carl W Nissen
Osteochondritis dissecans affects the elbow of many young, skeletally immature athletes. The incidence of OCD in the elbow is second to its occurrence in the knee and similar to the incidence in the ankle. Young, athletically active individuals are at increased risk for developing this problem. There is a predilection for those involved in overhead-dominant sports and sports that require the arm to be a weight-bearing limb. The diagnosis is occurring earlier because of an increased awareness of the entity and the increased use of advanced imaging techniques, primarily magnetic resonance imaging...
April 2014: Clinics in Sports Medicine
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