Unusual orientation of talar osteochondral fragment: A case report

Wade, Allison M.; Bustillo, Jorge

doi:10.1016/j.fas.2010.02.002

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…The case presented in the current study has a similar age (i.e., 26 years) as the previously reported cases. Moreover, the, trauma mechanism (i.e., supination injury) was identical; the OLT was situated on the anterolateral portion of the talar dome in all cases (12)(13)(14)(15)(16). obtaining success in two, however the type of lesion and delay in surgery were not clear from this study (21).…”

mentioning

confidence: 72%

“…The fifth case in the literature is described by Wade et al A twenty-two year old male patient suffered from an inversion trauma during ice hockey eight weeks prior to presentation (16). An anterolateral OLT was identified at the conventional radiographs, however, notion of the fragment being inverted were made during ankle arthroscopy.…”

Section: Verzin Et Al Presented a Seventeen Year Old Female With An mentioning

confidence: 99%

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Reinsertion of an Inverted Osteochondral Lesion of the Talus: A Case Report

Schepers

Rooij

Lieshout

2011

The Journal of Foot and Ankle Surgery

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Osteochondral lesions of the talus (OLTs) occur infrequently and are missed at the initial presentation in up to 67% of cases. Probably more than 1500 OLTs have been reported in published studies, of which, thus far, only 5 cases have been an inverted anterolateral OLT. An anterolateral OLT results from a hypersupination trauma, in which the talar dome is caught behind the fibula. Apparently, if the forces are large enough a "flip of the coin" phenomenon occurs, causing the fragment to invert 180° upside down. We present the case of a young female patient with an inverted OLT that was treated with open reduction and internal fixation using bioabsorbable pins. Follow-up radiographs and computed tomography showed a congruent joint and complete healing of the osteochondral fragment. At the short-term follow-up visit, the functional outcome was promising.

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confidence: 72%

Section: Verzin Et Al Presented a Seventeen Year Old Female With An mentioning

confidence: 99%

Reinsertion of an Inverted Osteochondral Lesion of the Talus: A Case Report

Schepers

Rooij

Lieshout

2011

The Journal of Foot and Ankle Surgery

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“…Therefore, clinicians should be aware that the most important thing when dealing with LIFT lesion is early recognition of this condition. Studies report that LIFT lesion usually occurs during sports activities, putting especially younger patients under a major risk ( 1 , 4 , 8 ). The main symptoms are nonspecific, mainly a combination of pain, swelling and tenderness over the lateral part of the ankle.…”

Section: Discussionmentioning

confidence: 99%

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature

Jurina¹

2018

ACC

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SUMMARY – Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. They presented with pain, swelling and tenderness over the anterolateral aspect of the right ankle. We recognized the LIFT lesion on the magnetic resonance imaging scans in patient 2, while in patient 1 the orientation of the fragment was recognized upon direct visualization during operative treatment. Both patients underwent arthroscopic procedure. Due to articular cartilage damage and insufficiency of the adjacent bone of the fragment, both patients were treated with excision followed by microfracture. Treatment of the LIFT lesion should start arthroscopically to allow clear evaluation of the osteochondral fragment, assessment of the talar defect and identification, as well as treatment of associated disorders. If the articular cartilage appears intact with sufficient subchondral bone, fixation of the fragment is optimal management, otherwise excision and microfracture can be the treatment of choice.

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“…Si el fragmento se encuentra en malas condiciones (conminuto, lesión condral, etc. ), se aconseja la exéresis (6)(7)(8)(9)(10)(11)(12)14,16,17) .…”

Section: Discussionunclassified

“…A pesar de la elevada prevalencia de estas lesiones asociadas a los esguinces de tobillo, es extremadamente raro que el fragmento osteocondral aparezca volteado 180°. Hay pocos casos publicados en la literatura, en los que se realizó exéresis o desbridamiento y fijación del fragmento osteocondral (6)(7)(8)(9)(10)(11)(12) . Presentamos el primer caso de una LOT volteada 180° tratada mediante reinserción y fijación artroscópica de fragmento.…”

Section: Introductionunclassified

Reinserción artroscópica de una lesión osteocondral volteada de talus: a propósito de un caso

González-García¹,

Blázquez-Martín²,

San-Miguel-Campos³

et al. 2017

REACA

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Caso clínico RESUMEN Introducción: las lesiones osteocondrales de talus (LOT) son poco frecuentes y pueden pasar desapercibidas inicialmente hasta en un 67% de los casos. La presentación habitual de un paciente con el antecedente de esguince de tobillo que consulta por dolor crónico con la carga y la movilización. Presentamos el primer caso publicado de reinserción artroscópica de un fragmento osteocondral rotado 180°. Material y métodos: se presenta el caso de un varón joven que, tras una torsión de tobillo, presentó una LOT con el fragmento volteado 180° (cartílago articular en contacto con hueso subcondral del talus) que pasó inadvertida en el diagnóstico inicial de esguince de tobillo. Mediante artroscopia de tobillo se redujo a su posición anatómica estabilizándolo con dos tornillos biodegradables. Resultados: el seguimiento clínico y las pruebas de imagen constataron la desaparición de los síntomas, buena integración del fragmento del astrágalo y congruencia articular anatómica. A los 24 meses de seguimiento presenta una puntuación de 90 en la escala AOFAS y un grado de satisfacción excelente. Conclusión: la reinserción del fragmento es una buena opción de tratamiento, permitiendo restaurar la anatomía y recuperar la función previa rápidamente.

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Unusual orientation of talar osteochondral fragment: A case report

Cited by 4 publications

References 7 publications

Reinsertion of an Inverted Osteochondral Lesion of the Talus: A Case Report

Reinsertion of an Inverted Osteochondral Lesion of the Talus: A Case Report

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature

Reinserción artroscópica de una lesión osteocondral volteada de talus: a propósito de un caso

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