سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Bedi, Harvinder, Ettehadi, Hossein, Davoodi, Ali, Ghaderi, Mohammad Taher, Salimi, Maryam. (1402). Extra-articular Lateral Talar Dome Osteochondral Fracture: A Case Report and a Review of Literature. , 11(11), 721-724. doi: 10.22038/abjs.2023.72127.3360
Harvinder Bedi; Hossein Ettehadi; Ali Davoodi; Mohammad Taher Ghaderi; Maryam Salimi. "Extra-articular Lateral Talar Dome Osteochondral Fracture: A Case Report and a Review of Literature". , 11, 11, 1402, 721-724. doi: 10.22038/abjs.2023.72127.3360
Bedi, Harvinder, Ettehadi, Hossein, Davoodi, Ali, Ghaderi, Mohammad Taher, Salimi, Maryam. (1402). 'Extra-articular Lateral Talar Dome Osteochondral Fracture: A Case Report and a Review of Literature', , 11(11), pp. 721-724. doi: 10.22038/abjs.2023.72127.3360
Bedi, Harvinder, Ettehadi, Hossein, Davoodi, Ali, Ghaderi, Mohammad Taher, Salimi, Maryam. Extra-articular Lateral Talar Dome Osteochondral Fracture: A Case Report and a Review of Literature. , 1402; 11(11): 721-724. doi: 10.22038/abjs.2023.72127.3360

Extra-articular Lateral Talar Dome Osteochondral Fracture: A Case Report and a Review of Literature

The Archives of Bone and Joint Surgery
مقاله 10، دوره 11، شماره 11، بهمن 2023، صفحه 721-724    اصل مقاله (630.87 K)
نوع مقاله: CASE REPORT
شناسه دیجیتال (DOI): 10.22038/abjs.2023.72127.3360
نویسندگان
Harvinder Bedi1؛ Hossein Ettehadi* 2؛ Ali Davoodi3؛ Mohammad Taher Ghaderi4؛ Maryam Salimi4
1Orthosport Victoria, Epworth Hospital, Richmond, Australia
2Macquarie University Hospital, Limb Reconstruction center, Sydney, Auastralia
3Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
4Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
The lateral talar dome osteochondral fracture has been described as shallow or wafer-shaped and is more likely to have an associated flake fracture than medial injuries. Displacement into the extracurricular space, however, is a rare occurrence. We present a case of ankle trauma with persistent pain and edema. A CT scan revealed a displaced osteochondral fracture of the lateral dome of the talus and an avulsion fracture of the tip of the medial malleolus. After appropriate dissection and exposure, the fragment was found below the skin, outside the ankle joint capsule. The fragment was fixed to the neck of the talus, and the deltoid ligament and anterior inferior tibiofibular ligament were repaired. After a one-year follow-up, full recovery was achieved without pain, stiffness, or osteonecrosis of the displaced fragment. Although the extra-articular displacement of lateral talar dome osteochondral fractures is rare, it should be considered when assessing ankle trauma.
Level of evidence: IV
کلیدواژه‌ها
Cartilage injury؛ Osteochondral fracture؛ Osteochondral lesions of the talus؛ Talus fracture
مراجع
1. Richter M. Peripherial talar fractures. Oper Orthop Traumatol.2013; 25(6):542-53. doi: 10.1007/s00064-013-0244-5.
2. Peml M, Kálal P, Kopačka P, Kloub M. Peripheral factures of the talus. Mid-term results. AActa Chir Orthop Traumatol Cech.2016; 83(6):399-404.
3. Dale JD, Ha AS, Chew FS. Update on talar fracture patterns: a large level I trauma center study. AJR Am J Roentgenol.2013; 201(5):1087-1092. doi: 10.2214/AJR.12.9918.
4. Boon AJ, Smith J, Zobitz ME, Amrami KM. Snowboarder's talus fracture: Mechanism of injury. Am J Sports Med. 2001; 29(3):333-338. doi: 10.1177/03635465010290031401.
5. Raikin SM, Elias I, Zoga AC, Morrison WB, Besser MP, Schweitzer ME. Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme. Foot Ankle Int. 2007; 28(2):154-161. doi: 10.3113/FAI.2007.0154.
6. Malahias M-A, Kostretzis L, Megaloikonomos PD, et al. Autologous matrix-induced chondrogenesis for the treatment of osteochondral lesions of the talus: A systematic review. Orthop Rev (Pavia). 2021; 12(4):8872. doi: 10.4081/or.2020.8872.
7. Kerkhoffs G, Karlsson J. Osteochondral lesions of the talus. Knee Surg Sports Traumatol Arthrosc.2019; 27(9):2719-2720. doi: 10.1007/s00167-019-05647-4.                                                                                                                                          8. Lambers KT, Saarig A, Turner H, et al. Prevalence of osteochondral lesions in rotational type ankle fractures with syndesmotic injury. Foot Ankle Int.2019; 40(2):159-166. doi: 10.1177/1071100718804818.
9. Nott E, Matheny LM, Clanton TO, et al. Accessibility and Thickness of Medial and Lateral Talar Body Cartilage for Treatment of Ankle and Foot Osteochondral Lesions. Foot Ankle Int.2021; 42(10):1330-1339. doi: 10.1177/10711007211015189.
10. Verhagen RA, Struijs PA, Bossuyt PM, van Dijk CN. Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin. 2003; 8(2):233-242. doi: 10.1016/s1083-7515(02)00064-5.
11. Hamilton C, Burgul R, Kourkounis G, Howieson A, Papadopoulos A. Osteochondral defects of the talus: radiological appearance and surgical candidate profiling—a retrospective analysis. oot (Edinb). 2021; 46:101767. doi: 10.1016/j.foot.2020.101767.
12. Herscovici D, Infante A, Scaduto J. Extra-articular extrusion of an osteochondral fragment of the talar dome. J Bone Joint Surg Br. 2003;85(3):431-434. doi: 10.1302/0301-620x.85b3.13910.
13. Park J, Lee HB, Kim GL, Yang KH. Surgical Treatment Approach for Pilon and Talar Dome Fracture: A Case Report. J Am Podiatr Med Assoc. 2020; 110(4):Article_14. doi: 10.7547/18-179.
14. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959; 41(6):988-1020.

آمار
تعداد مشاهده مقاله: 314
تعداد دریافت فایل اصل مقاله: 286