AI Article Synopsis
- The study followed 13 patients who had childhood osteochondral lesions (OCL) of the talar dome to assess long-term outcomes using physical exams, CT scans, and X-rays.
- Most cases were linked to trauma, with X-rays revealing abnormalities in 4 patients and CT showing an additional case; 3 patients still had visible defects and 2 had loose bodies in the joint.
- The findings suggest that arthrosis after childhood OCL is rare, advising conservative treatment first, and recommending further imaging for patients with ongoing symptoms.
Article Abstract
13 patients who in childhood had had osteochondral lesions (OCL) of the talar dome participated in a long-term follow-up including physical examination, computed tomography (CT) and conventional radiographs. Most of the cases were caused by trauma. Conventional radiographs showed abnormal findings in 4 cases and CT in a further one. In 3 cases the primary lesion could still be seen as an osteochondral defect, and 2 had a loose body in the joint. 3 of these 5 patients had mild symptoms. We conclude that arthrosis following OCL in childhood is infrequent and recommend conservative treatment initially. In those with persisting symptoms, additional imaging evaluation with CT and MRI is recommended.
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| http://dx.doi.org/10.3109/17453679408993733 | DOI Listing |
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