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At least 559 records · Page 31Linked to original sources
PubMed1983

Persistent medial deviation of the neck of the talus: a common cause of in-toeing in children.

We studied 117 in-toed children and found external tibial-fibular torsion and internal axial deviation of the foot from the midsagittal plane. Based on studies of newborn infants, radiographs, and anatomical specimens, we concluded that a major cause of in-toed gait in children was persistence of the fetal medial deviation of the talar neck and not internal tibial torsion. Spontaneous correction can be anticipated in children up to the age of 3 years if the internal axial rotation is less than 10 degrees. If it is greater than 10 degrees, prognosis for correction with orthoses is age related. In children over the age of 6 years, little correction seems possible.

Adolescent↗
PubMed1984

Osteochondritis dissecans of the talus: case report on two family members.

Historically the investigators studying the etiology of osteochondritis dissecans can be grouped into two schools: (a) those considering trauma to previously normal bone as the chief cause; and (b) those noting causes other than trauma as being the primary reason for the lesion's development. In the case studies presented here, three medial lesions in two siblings are discussed. In neither case could trauma be substantiated.

Adolescent↗
PubMed2006

The morbidity associated with osteochondral harvest from asymptomatic knees for the treatment of osteochondral lesions of the talus.

BACKGROUND: Mosaic autogenous osteochondral transplantation has been used to treat large osteochondral defects. HYPOTHESIS: There is potential, previously unrecognized donor-site morbidity associated with osteochondral harvest from asymptomatic knees for the treatment of talar osteochondral defect lesions. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Fifteen patients underwent mosaic osteochondral transplantation to treat a talar osteochondral defect lesion, with 11 patients available for follow-up. A Lysholm knee score was used to assess donor-site morbidity at a mean follow-up of 47 months (range, 7-77 months). Mean age was 29 years (range, 21-44 years). A single surgical team performed the mosaicplasties. Significance was determined using the Student t test. RESULTS: All patients had asymptomatic knees preoperatively. Mean postoperative Lysholm score was 81 (range, 49-100). By Lysholm criteria, 5 rated as excellent, 2 as good, and 4 as poor. No significant difference was detected in terms of the harvest method or the number of grafts obtained from those having an excellent rating versus those having a good/poor rating. Patients rated as good/poor cited knee instability in daily activities as the most common problem. One had knee pain and patellar instability after osteochondral harvest by lateral arthrotomy that required a subsequent lateral retinacular release and tibial tubercle osteotomy. CONCLUSION: This study demonstrates that donor-site morbidity after osteochondral harvest can be significant. In this population, those who experienced a decline in knee function had problems performing activities of daily living. When performing these procedures, the authors recommend that surgeons consider these risks and discuss them with their patients.

Adult↗