Nonoperatively managed stage 5 osteochondral talar lesions.

Thirty-five ankles in 34 subjects with non-surgically managed stage 5 (chronic) osteochondral lesions of the talus (OLT) were reassessed an average of 38 months post diagnosis--88 months post symptom onset. The overall clinical result was rated good or excellent in 54%, fair in 17% and poor in 29%. Six patients opted for surgery--arthroscopic drilling--after a trial of one year of nonsurgical treatment and were therefore rated as poor.

Arthroscopic versus open acromioplasty: a prospective, randomized, blinded study.

The purpose of this study is to determine whether arthroscopic acromioplasty is equivalent or superior to open acromioplasty, in a prospective, randomized, controlled, blinded clinical trial. Seventy-one patients with a clinical diagnosis of impingement syndrome were randomized to arthroscopic or open acromioplasty. Nine were excluded because of full-thickness rotator cuff tears diagnosed after randomization.

Kinematics of valgus bracing for medial gonarthrosis: technical report.

OBJECTIVE: To determine whether a valgus knee brace altered the alignment of the shank segment with respect to the thigh segment of patients with medial gonarthrosis of the knee. DESIGN: Twelve (subject) x 2 (brace condition) x 2 (speed) repeated measures design. METHODS: Twelve male subjects (mean age 55 yr, SD 5 yr) who were prescribed a valgus knee brace for medial gonarthrosis walked on a treadmill at normal (mean 1.

Osteochondral lesions of the talus.

We report demographic, clinical, and imaging data on 92 patients with osteochondral lesions of the talus collected in one center between 1981 and 1992. All patients reported pain as their primary symptom. Ninety-four percent of the patients reported pain with activity.

The role of bone scintigraphy in the evaluation of talar dome fractures.

We undertook a retrospective study of 122 patients with ankle pain to determine the accuracy of bone scintigraphy using 99mTc-methylene diphosphonate (MDP) for detection of osteochondral talar dome fractures (OCTDF). Plain radiographs, which were available in 97 patients, had not revealed any abnormality in the talar dome. Bone scintigraphy was followed by CT, which was considered to be the reference test in diagnosing OCTDF.