TY - JOUR
T1 - Osteochondral Lesions of the Talus: An Individualized Treatment Paradigm from the Amsterdam Perspective
T2 - An Individualized Treatment Paradigm from the Amsterdam Perspective
AU - Rikken, Quinten G. H.
AU - Kerkhoffs, Gino M. M. J.
N1 - Publisher Copyright: © 2020 The Author(s) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/3
Y1 - 2021/3
N2 - Osteochondral lesions of the talus (OLTs) are characterized by damage to the articular cartilage of the talus and its underlying subchondral bone. Up to 75% of OLTs are caused by trauma, such as an ankle sprain or fracture. Physical examination and imaging are crucial for diagnosis and characterization of an OLT. No superior treatment for OLTs exists. It is paramount that an evidence-based personalized treatment approach is applied to patients with OLTs because lesion and patient characteristics guide treatment. This current concepts review covers clinical and preclinical evidence on OLT etiology, presentation, diagnosis, and treatment, all based on the Amsterdam perspective.
AB - Osteochondral lesions of the talus (OLTs) are characterized by damage to the articular cartilage of the talus and its underlying subchondral bone. Up to 75% of OLTs are caused by trauma, such as an ankle sprain or fracture. Physical examination and imaging are crucial for diagnosis and characterization of an OLT. No superior treatment for OLTs exists. It is paramount that an evidence-based personalized treatment approach is applied to patients with OLTs because lesion and patient characteristics guide treatment. This current concepts review covers clinical and preclinical evidence on OLT etiology, presentation, diagnosis, and treatment, all based on the Amsterdam perspective.
KW - Ankle
KW - Current concepts
KW - OCD
KW - OLT
KW - Osteochondral defects
KW - Osteochondral lesions
KW - Talus
UR - http://www.scopus.com/inward/record.url?scp=85097734635&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.fcl.2020.10.002
DO - https://doi.org/10.1016/j.fcl.2020.10.002
M3 - Review article
C2 - 33487235
SN - 1083-7515
VL - 26
SP - 121
EP - 136
JO - Foot and ankle clinics
JF - Foot and ankle clinics
IS - 1
ER -