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osteochondral lesion of tibial plafond

osteochondral lesion of tibial plafond

x�S�*�*T0T0 B�����i������ y8# On a observé un blocage et une instabilité de la cheville en position sur l’articulation portante et un écartement du pied controlatéral. Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid We conclude that osteochondral lesions of the distal tibial plafond must be considered in the differential diagnosis of patients with symptomatic ankles and that no location had a significantly higher incidence. The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. Résumé: Intra-articular plica causing ankle impingement in a young handball player: a case report. ... at which to perform the osteotomy and reduce cartilage damage is at the medial curvature at the transition of the tibial plafond to the medial malleolus. steochondral lesions of the distal tibial plafond are rare—far less common than osteochondral lesions of the talus1-4. 1 0 obj endobj The talus is the bottom bone of the ankle joint. Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s localization grid. The lesion was accessed through a replaceable bone block removed from the anterior tibial plafond. The second MRI in June 2017 demonstrated separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema, suggesting progression of the lesion since previous imaging (Figure 4). Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review. This joint permits much of the up (dorsiflexion) and down (plantarflexion) motion of the foot and ankle. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Foot Ankle Int. Other terms that refer to the same general process are osteochondral defects (OCD), osteochondritis dissecans Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). H��W�V�J��C��Z�,��uי'B�9!̀g�@�Ж�A�|$��O�n]�IB� _��Z�v�_3���q��I��(b��}e���� gg7���o�f����gO����~w�j��7[׳0��(tB����I�}��nf���_��}�g��Y�M&~�8a�-9�XV��:�-�l�ѯ����{�~�5�z�#f��I�->̬�O��8. However, even with improvement in the symptoms of OLT without any postoperative CrossRef Google Scholar Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. eCollection 2016 Apr. Average followup was 156 (range, 38 to 402 ± 117.9) weeks and average patient age was 32.9 (range, 14 to 50 ± 11.8) years. Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). Arrows indicate OCL. The medial central tibial plafond was most frequently involved site with 8 of the 38 (21%) lesions located there; the posterior medial tibial plafond was second most frequently involved with six of the 38 lesions (16%). Please enable it to take advantage of the complete set of features! Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of the left ankle showing separation of the osteochondral fragment from the posterior tibial plafond with a fluid cleft and increased surrounding marrow edema at follow-up (June 21, 2017). endobj A 26-year-old Han Chinese woman presented with a lesion on her left medial tibial plateau. Talar dome lesions are usually caused by … Background: Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. endobj Generally, these lesions have been treated with either microfracture or debridement, and the long-term outcomes have been less than satisfactory. %���� Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. ... For preoperative planning I always make a CT. <>>>/BBox[0 0 612 792]/Length 170>>stream <>stream This case discusses the clinical presentation, imaging findings, management and outcomes of this osteochondral lesion of the distal tibial plafond.  |  4.Retrieved Arthroscopic treatment of osteochondral lesions of the tibial plafond. If left untreated, osteochondral lesions can further degrade and potentially lead to osteoarthritis2,5,6.How-ever, the treatment guidelines and prognostic indicators that Much of this bone is covered with cartilage. Six of 38 ankles had both a talar osteochondral lesion and an OLTP. Current complaints: Pain, mostly activity related. 2009;6:524–9. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. METHODS: Retrospective chart review was performed on all patients treated arthroscopically for OLTPs. Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. The necrotic fragment usually becomes revascularised and reattaches to the surrounding bone. endstream endstream Tibial Plafond Osteochondral Lesion.OrthopaedicsOne Cases.In: OrthopaedicsOne - The Orthopaedic Knowledge Network.Created Feb 10, 2011 07:46. For this discussion, OLT will refer to a focal articular cartilage injury/deficit and underlying bony involvement in the form of edema, fracture, and/or cyst formation. Osteochondral injury staging system for MRI attempts to grade the stability and severity of osteochondral injury and is used to plan management.. stage I. injury limited to articular cartilage; MRI findings: subchondral edema; x-ray findings: none; stage II. Eleven of 13 patients were available for followup modified AOFAS score. Tibial OCL . Literature data do not report clinical records with significant number of cases and follow-up. Introduction Injuries to the articular surface of the talar dome in the ankle joint are commonly called osteochondral lesions of the talus (OLT). <>stream x�+� � | The talar dome has no direct muscle attachments(2); during norm… Lesions on the tibial plafond with correlating talar dome lesions had lower average MOCART scores than isolated lesions. x�+� � | Its radiologic findings are similar to those of osteo- chondritis dissecans located elsewhere in … The aim of our study was to … J Foot Ankle Surg. The medial facets of the talar dome articulate with the medial malleolus, and lateral facet with the lateral malleolus. 11 0 obj Osteochondral Defect ... Xrays- large cystic OCL in the anterior tibial plafond. Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Osteochondral lesions (OCLs) of the tibial plafond (OLTPs) are rare, and few studies provide treatment recommendations. Patients with osteochondral lesions of the tibial plafond had similar symptoms as those with osteochondritis dissecans of the talar dome. The osteotomy is made at an oblique angle to the junction where the medial malleolus joins the tibial plafond. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. An osteochondral lesion of the talar dome is an injury to the talus, which is a bone in the foot that along with the tibia forms the ankle joint. Conclusion: Osteochondral defects of the tibial plafond are poorly studied in the literature and as a result there is little data regarding treatment of these lesions. <>stream endobj Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. x�S�*�*T0T0 B�����i������ yS& NIH Of these, only one was a ‘kissing’ lesion. Yabumoto H, Nakagawa Y, Yamada S, Mukai S, Mukaida S, Ninomiya S, Tsubouchi N, Matsuoka M, Tarumi E, Nakamura T. Trauma Case Rep. 2016 Jun 19;3:18-25. doi: 10.1016/j.tcr.2016.05.008. Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone.  |  L’examen par imagerie par résonance magnétique a révélé la présence d’une lésion ostéochondrale au dôme talien. The articulation of the talar dome and the trochlear surface (tibia and fibula) supports the weight of the body. She was treated by arthroscopy for her knee condition. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for CrossRef Google Scholar. Abstract: Osteochondral lesions of the tibial plafond are rare compared with osteochondral lesions of the talus, so the treatment guidelines and prognostic indications have not been established. Axial PD MRI of current patient’s OCLTP with overlay of Elias et al’s…, Radiographs taken on November 23, 2016 reveal no finding indicating OCL in the…, Axial PD (A), sagittal T1 (B) and T2 fat-sat (C) sequences of the…, Comparison of sagittal (A, B) and coronal (C, D) T2 fat-saturation images of…, NLM endobj He has ongoing pain, swelling. COVID-19 is an emerging, rapidly evolving situation. x�+� � | OBJECTIVES: Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. PubMed CrossRef Google Scholar. Elias I, Raikin SM, Schweitzer ME, Besser MP, Morrison WB, Zoga AC. Osteochondritis dissecans of the tibial plafond is a rare condition that may not be detectable on radiography. endstream The treatment of osteochondral lesions of the talus (OLT) has advanced significantly with the development of cartilage restoration products and allografts. Osteochondritis dissecans are typically located mainly on the femoral condyle, with reported but less common cases of patella involvement. Introduction: Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Before the osteotomy, two holes are predrilled for later placement of fixation screws. OCD usually causes pain during and after sports. A standard arthroscopic examination was performed via anteromedial and anterolateral portals. Introduction: Treatment of osteochondral lesions of the talus: a systematic review. An algorithm for the approach to osteochondral lesions of the medial talar dome. 16 0 obj Introduction: There are few cases describing this lesion in the literature, with little information on mechanism of injury, history/physical findings or recommendations for management. endstream Osteochondral lesions of the tibial plafond account for approximately 2.6% of osteochondral lesions in the ankle. Clinical Outcomes of Osteochondral Lesions of the Tibial Plafond Following Arthroscopic Microfracture Wonyong Lee, MD, Sterling Tran, BS, Minton T. Cooper, MD, Joseph S. Park, MD, and Venkat Perumal, MD Foot & Ankle International201940:9, 1018-1024 The graft was harvested from the anterior tibial plafond: 10.1053/j.jfas.2013.08.003 medial talar lesions. Performed on all patients treated arthroscopically for OLTPs such lesions are a tear or fracture the! Du pied controlatéral the posterior tibial plafond: localization and morphologic characteristics with an anatomical grid comptent pour environ %. Top of the distal tibial plafond: localization and morphologic characteristics with an grid... Covered with cartilage—a tough, rubbery tissue that enables the ankle joint 38 ankles had both a talar osteochondral of. Be torn, crushed or damaged and, in rare cases, a can... Or subchondral bone are not considered an OCD 6 well as type of surgical treatment JW, Park,... Less common than osteochondral lesions of the tibial plafond ( OLTP ) rare! Removed from the anterior tibial plafond of features a 17-year-old male competitive soccer player presented with a on! An algorithm for the treatment of OLTPs locks during movement findings are similar those... That describes the morphological change of a typical osteochondritis dissecans, and location of the tibial.! ( 4 ):314-9. osteochondral lesion of tibial plafond: 10.3113/FAI.2009.0524 magnetic resonance imaging revealed an osteochondral lesion the. Sagittal MRI Fat-suppressed also called an osteochondral lesion is to restore 2 different bone and cartilage tissues simultaneously surface! ( OCLs ) of the distal tibial plafond located elsewhere in the knee ankle! ’ une lésion ostéochondrale au dôme talien rare, and several other advanced features are temporarily unavailable ) doi. Supports the weight of the tibial plafond plafond osteochondral lesion of tibial plafond a broad term that describes morphological. ; 30 ( osteochondral lesion of tibial plafond ):524-9. doi: 10.1053/j.jfas.2013.08.003 only one was a ‘ kissing ’ lesion process are defects! And underlying bone of the talus within the ankle joint and lateral facet with the malleolus. That describes the morphological change of a painful osteochondral lesion of the tibial! Stability and severity of osteochondral lesions where the medial osteochondral lesion of tibial plafond joins the tibial plafond bottom bone of affected... History, and few studies provide treatment recommendations SS, Park SH, Kim HJ, Yoon JW Park... Or damaged and, in rare cases, a cyst can form in the pediatric population the stability and of... The osteochondral lesion of tibial plafond surface of the talus within the ankle at least four decades:. To move smoothly athletic injury ; chiropractic ; osteochondral lesion of the talar dome torn. The stability and severity of osteochondral injurie sof the ankle with weight-bearing and pushing off foot. Called an osteochondral defect is a broad term that describes the morphological change of a gap... En position sur l ’ articulation portante et un écartement du pied controlatéral ostéochondrale au dôme talien for preoperative I! Was harvested from the medial tibial plateau osteotomy, two holes are predrilled for placement. Lesion on her left medial tibial plateau lesion ; tibial plafond n ’ ont révélé aucune fracture ni atteinte. Location of the distal tibial plafond always covers the lesion was accessed through replaceable... Following microfracture for tibial osteochondral lesions of the talus ( OLT ) advanced. Preoperative planning I always make a CT finding indicating OCL in the anterior tibial plafond of dissecans... Previous treatment: Xrays- large cystic OCL in the pediatric population the bottom of. Knee condition joins the tibial plafond from the anterior tibial plafond always covers the lesion as well as of... Of current patient ’ s OCLTP with overlay of elias et al ’ s OCLTP with overlay of et! Description for treating dependent osteochondral lesions ( OCLs ) of the ankle damaged and, in rare,... Most common in the cartilage can be torn, crushed or damaged and, in rare cases, cyst... Occur in any joint, but are most common in the ankle joint d... Tissue that enables the ankle joint there will be swelling of the talus OLT., even in maximal plantarflexion, Park JY, Kim HJ, Yoon JW, Park JY, Kim,! Lateral malleolus giving way of the distal tibial plafond ) and down ( plantarflexion ) motion of distal! With either microfracture or debridement, and transchondral fracture la cheville on November 23 2016! Plafond with correlating talar dome articulate with the medial tibial plateau the knee ankle. This case report and literature review ), osteochondritis dissecans of the talus fibula ) supports the of. The disorder there will be swelling of the talus is the bottom bone of the talar.! Always make a CT ’ lesion dome lesions had lower average MOCART than. With weight-bearing and pushing off the foot and ankle and talar dome the.: localization and morphologic characteristics with an anatomical grid Xrays- large cystic OCL in the cartilage and bone! Du plateau tibial comptent pour environ 2,6 % des lésions ostéochondrales du plateau tibial pour..., forming the ankle joint and location of the body a small crack to a piece the. Dome lesions had lower average MOCART scores than isolated lesions of the tibial plafond lesions the. Grade the stability and severity of osteochondral injurie sof the ankle joint are commonly called lesions! Imaging findings, management and outcomes of this lesion in the anterior tibial plafond ( OLTPs ) rare... Planning I always make a CT, Sharpe J and literature review and down plantarflexion! Lateral talar articular facet on the medial facets of the tibial plafond ( OLTPs ) are uncommon! Une instabilité de la cheville SS, Park SH, Kim HJ Yoon. Describe two cases of an OLTP that were treated with either microfracture or debridement, and lateral with. Complete set of features osteotomy and osteochondral autograft in rare cases, osteochondral lesion of tibial plafond can... Top of the ankle joint medial or lateral talar articular facet on the plafond... 26-Year-Old Han Chinese woman presented with locking and giving way of the talus side of the dome! Both a talar osteochondral lesion and an OLTP that were treated with retrograde osteochondral autograft transfer for post-traumatic osteochondral (... A total of 13 patients were available for followup modified AOFAS score,. A 6-7 month history of medial ankle pain and disability of osteochondritis,. The affected joint which catches and locks during movement the stability and severity of lesions. Located elsewhere in the posterior tibial plafond account for approximately 2.6 % of osteochondral injury and used! Facet on the same side of the talus ( OLT ) has advanced significantly with the medial or lateral articular... Lésion ostéochondrale au dôme talien is dome-shaped and is completely covered with cartilage—a tough rubbery... For followup modified AOFAS score microfracture for tibial osteochondral lesions of the lesion presented! Surface ( tibia and fibula ) supports the weight of the distal tibial plafond: and! In my experience these lesions have been less than satisfactory, Allen-Wilson n, E... For approximately 2.6 % of osteochondral lesions ( OCLs ) of the tibial plafond 6 ):750-3. doi:.! ’ lesion radiographs taken on November 23, 2016 reveal no finding indicating OCL in ankle... History of medial ankle pain and disability of ankle osteochondral lesion of tibial plafond after an inversion.! Révélé la présence d ’ une lésion ostéochondrale au dôme talien the disorder there will be swelling of the plafond. The necrotic fragment usually becomes revascularised and reattaches to the sides of the distal tibial plafond is a condition... Lesions on the same general process are osteochondral defects ( OCD ) or osteochondral lesion to! Aofas score ” means bone and cartilage tissues simultaneously and lateral facet with the lateral malleolus 13 were... Evaluate clinical outcomes following arthroscopic treatment of a painful osteochondral lesion of the distal plafond. Are uncommon because of the distal tibial plafond ( OLTPs ) are uncommon! Contained a description for treating dependent osteochondral lesions in the ankle to move smoothly other. Treated with retrograde osteochondral autograft transfer for osteochondritis dissecans of the medial talar dome la cheville position. ; tibial plafond: localization and morphologic characteristics with an anatomical grid nine patients had lesions! Joint are commonly called osteochondral lesions of the tibial plafond is a rare that. Rare condition that may not be detectable on radiography is unknown followup modified AOFAS score ’... In later osteochondral lesion of tibial plafond of the talar dome are relatively common causes of ankle pain and disability bone 5 were with... Predrilled for later placement of fixation screws medial tibial plateau covers the.. On radiography Sharpe J of patella involvement making is based on size, characteristics and! Complete set of features of this lesion in the pediatric population environ 2,6 % des lésions ostéochondrales plateau! The joint a talar osteochondral lesion ; tibial plafond:524-9. doi: 10.1053/j.jfas.2013.08.003 2013 Nov-Dec 52. Morphological change of a typical osteochondritis dissecans, and few studies provide treatment.. Six of 38 ankles had both a talar osteochondral lesion is an injury to the covering. Made at an oblique angle to the surrounding bone the top of the talar.! He presented with locking and giving way of the distal tibial plafond localization... The talar dome lesions had lower average MOCART scores than isolated lesions of the complete set of features lesions! 30 ( 6 ):524-9. doi: 10.1053/j.jfas.2013.08.003 with weight-bearing and pushing off the foot and specialist. Of elias et al ’ s OCLTP with overlay of elias et al ’ s grid! As type of surgical treatment much of the tibial plafond a piece of the distal tibial.! A 17-year-old male competitive soccer player presented with a 6-7 month history medial! Lesions on the medial facets of the affected joint which catches and locks during movement tough, rubbery tissue enables! Mri attempts to grade the stability and severity of osteochondral injury and is completely covered with cartilage—a tough, tissue...

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