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At least 415 records · Page 23Linked to original sources
PubMedDate not supplied

Osteochondral fractures of the dome of the talus.

Fractures of the talor dome are uncommon and may elude diagnosis despite routine roentgenograms of injured ankles. Tomograms are helpful in localizing this lesion. Surgical removal of the osteochondral fragment is often indicated. Medial lesions may be inaccessible except by osteotomy of the medial malleolus which is then fixed with a bone screw. Lateral fragments are approached through anterolateral or posterolateral ankle incisions. Of 9 symptomatic ankles, 6 had satisfactory results following surgery. The other 3 were treated conservatively, one improved; two did not. One additional asymptomatic ankle remained so with no treatment. In one case the talus also contained an unusual cystic lesion; in another there was tarsal coalition.

Adolescent↗
PubMed2003

Avulsion fractures of the medial tubercle of the posterior process of the talus.

Avulsion fracture of the medial tubercle of the posterior process of the talus occurs after forceful dorsiflexion-pronation of the ankle. We evaluated five patients who had sustained this fracture while participating in sporting activities. Two patients were correctly diagnosed acutely and treated with immobilization and limited weightbearing. Avulsion fractures in the remaining three patients went undiagnosed acutely. This group was treated with delayed operative excision for persistent posteromedial ankle pain. The patients were evaluated at a mean follow-up of 35 months using the AOFAS Ankle-Hindfoot Scale. The two patients diagnosed and treated acutely achieved excellent results. The three patients with missed fractures did poorly, yet achieved comparable results after late excision. Our results suggest that prompt diagnosis and appropriate management yields reliably good outcomes. Untreated avulsion fractures predictably do poorly. For these patients, late excision can provide significant functional and symptomatic improvement.

Adult↗
PubMed2003

[Fluid-fluid level in an intra-osseous ganglion cyst of the talus].

The author report a very rare case of fluid-fluid level in an intra-osseous ganglion cyst of the talus that was detected on CT and MR imaging. Pre-operative diagnosis was suggested by the presence of a communication between the talo-cuboid joint and the cyst, as shown at MR Arthrography.

Adult↗
PubMed2003

Talus fracture associated with a fracture dislocation of the distal tibia in an immature skeleton.

A 12-year-old boy with a severe injury of his right ankle was treated in the accident unit. The local condition was an extensive open wound with parts of the fractured bones prominent. Radiographs showed a severely displaced fracture of the body of the talus associated with a Salter-Harris IV injury of the distal tibia and subluxation of the ankle. After proper debridement the fractured bones were reduced and fixed. Eleven years later both fractures are completely healed without any sign of avascular necrosis, the patient has full painless ankle movement and he can perform his demanding occupation without any problem.

Accidents, Traffic↗
PubMedDate not supplied

Occult fractures of the talus.

A case presentation of a severe ankle sprain in which the patient was nonresponsive to routine therapies is presented. Repeat radiographs and computerized axial tomographic scans (CAT Scans) lead to the final diagnosis of a sagittal plane fracture of the talus. The clinical and radiographic evaluation leading to the diagnosis will be presented, and the surgical and postoperative managements will be discussed.

Adult↗
PubMed2003

Giant cell tumour of talus with osteosarcomatous transformation in a young male: a case report.

A case of osteosarcomatous transformation in a benign giant cell tumour is described. Spontaneous malignant transformation is rare in a giant cell tumour with only 17 cases reported in the literature till date. In addition, a giant cell tumour arising in the bones of the hands and feet is in itself a rarity. In this instance the lesion presented in the talus of the left ankle in a 13 year old male.

Adolescent↗
PubMed2004

[Osteochondral lesions of the talus in adolescents].

Osteochondral lesions of the talus range from those confined to the hyaline cartilage covering the articular surface to those involving the subchondral bone. The lesion may not be apparent on the surface of the cartilage or it may be confined to the subchondral bone without cartilage involvement. These complex presentations often necessitates the use of computed tomography and magnetic resonance imaging to delineate the exact nature of the lesions. It has been shown that the frequency of osteochondral lesions increase following repetitive ankle sprains. Although the etiology is not well understood, both traumatic and atraumatic causes are thought to be effective. Nevertheless, early diagnosis and treatment of these lesions have improved considerably thanks to the developments in imaging techniques. It seems that arthroscopic chondral reconstruction methods using autologous chondrocyte and osteochondral transplantations will gain much interest in the near future.

Adolescent↗
PubMed2004

Fracture of the lateral process of the talus: a report of 2 cases.

Fracture of the lateral process of the talus is historically a rare injury with an increasing incidence. This fracture is easily misdiagnosed as an ankle soft-tissue sprain, and a high index of suspicion is essential in making a timely diagnosis to avoid any long-term sequelae. A CT scan should be performed in preference over an MRI scan.

Adult↗
PubMed2004

Further evidence to show population specificity of discriminant function equations for sex determination using the talus of South African blacks.

Several studies have shown that osteometric differences exist between different population groups. Thus, discriminant function equations derived for the determination of sex from skeletal elements are population specific. In a previous study, the authors derived such equations from nine measurements of the talus of South African whites with high levels of average accuracies. The validity of some of the equations was tested on data collected from a South African black sample that consisted of 120 tali, equally distributed by sex, derived from the Raymond A. Dart Collection of Human Skeletons. The average accuracies dropped significantly. This necessitated the derivation of new equations for the South African black population and the average accuracies obtained ranged between 80% and 89%. The validity of the equations derived from the present study was tested using the leave-one-out classification and two independent samples (1 and 2). The applicability of the equations with very high classification rate from the present study was tested on Independent sample 1 of 10 white tali with poor results. The result of the validity of these equations on an Independent sample 2 of 10 black tali revealed acceptably high average accuracies in correct classification thereby supporting earlier observations on population specificity of discriminant function equations.

Adolescent↗
PubMed2004

Osteochondral defects of the talus treated by mesenchymal stem cell implantation--early results.

The purpose of this study was to present early results of talus cartilage defects treatment with autologous mesenchymal stem cells CD34+ implantation technique. Nine (9) patients were treated, due to IV degree chondromalation (by ICRS). The applied standard procedure included: clinical examination, AP and lateral x-ray, MRI, preoperative, as well as during control examination. The surgical procedure consisted of the defect's debridement, harvesting and fixation of the periosteal flap and CD34+ implantation. Clinical results were assessed after 6 months to 3 years by clinical examination, Magee score and MRI. Good and very good clinical results were obtained and confirmed by MRI in 8 cases. In one case, cartilage hypertrophy was noted. There were no delamination and infection signs.

Cartilage, Articular↗
PubMed2005

Chip fractures from the distal lateral trochlear ridge of the talus of a quarter horse gelding: a veterinary medicine clinical report.

An eighteen-month old quarter horse gelding was diagnosed with chip fractures from the distal lateral trochlear ridge of the talus. The horse presented with the symptom of persistent synovitis. The diagnosis was based on radiographic evidence. The horse was treated initially with arthroscopic surgery. He was given a non-steroidal anti-inflammatory agent, and a chondroprotective agent to prevent further damage to, and aid in the healing of, the damaged joint.

Animals↗
PubMed2006

Isolated tuberculosis of the talus bone.

A 7-year-old boy was referred to us with a 3-month history of swelling and pain on his left ankle. On laboratory evaluation, he only had an elevated erythrocyte sedimentation rate. X-ray showed an extensive lytic lesion of the talus bone. Chest roentgenogram was normal. The Mantuex skin test was negative. Histological examination of the biopsy tissue showed granuloma and caseating necrosis of tuberculosis. Talectomy with 6 months of antituberculous chemotheraphy resulted in a good clinical outcome.

Ankle Joint↗
PubMedDate not supplied

Corticosteroid-induced avascular necrosis of the talus.

An unusual case of avascular necrosis of the talus secondary to chronic steroid usage is presented, along with a review of the literature. Etiologic factors as well as radiographic and clinical features will be discussed. Possible treatment alternatives will be reviewed. With greater knowledge of this pathologic process, prompt diagnosis may prevent its potentially harmful sequelae.

Ankle Joint↗
PubMed1991

Osteochondritis dissecans of the medial trochlear ridge of the talus in a calf.

Osteochondritis dissecans of the proximal aspect of the medial trochlear ridge of the talus was found to be causing lameness and tarsocrural joint effusion in a male Limousin calf. Arthroscopy via a dorsolateral approach was unsuccessful in revealing the lesion in this calf. A caudomedial arthrotomy or medial malleolar osteotomy, which can be used to gain access to lesions of the medial trochlear ridge in dogs, was not attempted. The lameness gradually worsened, and the calf was slaughtered.

Animals↗
PubMed1991

[Fractures of the lateral process of the talus].

In approximately 1% of all ankle sprains a fracture of the lateral process of the talus can be found. This fracture is probably even more common than this suggests, as it is often missed. We recommend that CT examination be performed in the investigation of ankle sprains when swelling, hematoma, and pain are present, when there is no instability of the ankle ligaments, and when no conclusive findings are yielded by conventional X-ray. Various theories on the best therapy have been propounded in the literature. Our retrospective study involved six patients. In two cases the fracture was treated by surgical operation. The remaining four patients received conservative therapy. Both patients who were operated upon had dislocated fractures sustained shortly before. On follow-up they were found to be completely symptom free. One further patient, who underwent conservative treatment for a fresh undislocated fracture, was also found to be free of all symptoms at follow-up. The late radiological findings in these three patients were incontestable. The three remaining patients, whether they had undergone conservative our functional treatment, reported considerable problems at follow-up, i.e. starting pain and a decreased range of motion in the talo-calcanear joint.

Adult↗
PubMed1990

Arthroscopy in the treatment of osteochondrosis dissecans of the talus.

This study consists of six cases of osteochondrosis dissecans of the talus (ODT) treated with arthroscopy, which was able to precisely evaluate the integrity of the articular surface; this exact evaluation confirmed in turn the inaccuracy of radiographic staging and often even the most sophisticated techniques (CAT scan and/or MRI). Arthroscopy allows treatment of osteochondral lesions and consensual reactive synovitis in both advanced stages and minor lesions, with recourse to transchondral perforation. Its low morbidity and short period of rehabilitation together with the subjective and objective outcome at the follow-up (4-33 months) make arthroscopy a valid alternative to arthrotomy for treating this type of lesion.

Adolescent↗
PubMedDate not supplied

Enigma of pediatric vertical talus deformity.

Vertical talus is an unusual pediatric deformity that often is unrecognized at birth. Its treatment is necessarily surgical and not typically addressed by the podiatric medical profession. In this case report, the enigmatic deformity is reviewed, along with a detailed photographic assay of useful techniques for its surgical reduction.

Cerebral Palsy↗