Osteochondral lesions of the talar dome: an up-to-date approach to multimodality imaging and surgical techniques.
Skeletal Radiol
; 50(11): 2151-2168, 2021 Nov.
Article
en En
| MEDLINE
| ID: mdl-34129065
Osteochondral lesions (OCLs) of the talar dome consist of a multifactorial pathology of the articular cartilage and subchondral bone and can result in persistent ankle pain and osteoarthritis (OA). Along with a physical examination and clinical history, an imaging evaluation plays a pivotal role in the diagnosis of these lesions and is fundamental for making treatment decisions and determining prognosis by providing information regarding the size, location, and cartilage and subchondral bone statuses as well as associated lesions and degenerative changes. Multiple surgical techniques for OCLs of the talar dome have been developed in recent decades, including cartilage repair, regeneration, and replacement strategies, and radiologists should be acquainted with their specific expected and abnormal postoperative imaging findings to better monitor the results and predict poor outcomes. The present article proposes a thorough review of the ankle joint anatomy and biomechanics, physiopathology, diagnosis, and treatment of OCLs of the talar dome, highlighting the radiological approach and imaging findings in both pre- and postoperative scenarios.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Astrágalo
/
Cartílago Articular
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Skeletal Radiol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Brasil
Pais de publicación:
Alemania