Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Idaho Falls ID

Looking for information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Idaho Falls? We have compiled a list of businesses and services around Idaho Falls that should help you with your search. We hope this page helps you find information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Idaho Falls.

Lynn J Stromberg, MD
(208) 785-2600
2860 Channing Way Ste 220
Idaho Falls, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1990

Data Provided By:
Rodney H Hillam, DDS
(208) 524-1800
3325 S Holmes Ave
Idaho Falls, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John L Andary
(208) 524-5633
2035 E 17th St
Idaho Falls, ID
Specialty
Orthopedic Surgery

Data Provided By:
Stan R Griffiths
(208) 227-1100
2321 Coronado St
Idaho Falls, ID
Specialty
Orthopedic Surgery

Data Provided By:
Gene Laren Griffiths, MD
(208) 227-1100
2321 Coronado St
Idaho Falls, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1991
Hospital
Hospital: Eastern Idaho Reg Med Ctr, Idaho Falls, Id

Data Provided By:
Gregory Gillman West, MD
(208) 227-1100
2321 Coronado St
Idaho Falls, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1982

Data Provided By:
Mark Weight, MD
(208) 535-4282
2860 Channing Way Ste 220
Idaho Falls, ID
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Brigham B Redd
(208) 535-4567
2860 Channing Way
Idaho Falls, ID
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Edwin Biddulph
(208) 522-6662
3300 Washington Pkwy
Idaho Falls, ID
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Casey I Huntsman
(208) 522-6662
3300 Washington Parkway
Idaho Falls, ID
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions

Persistent ankle pain after an ankle sprain could be a sign of a condition called osteochondral lesion of the talus (OLT). The talus is a bone in the ankle between the calcaneus (heel bone) below and the tibia (shin bone) above.

The bottom of the tibia forms a dome over the top of the talus. With OLT, a piece of cartilage from the talus gets pinched by this dome. In more severe cases, a fragment of cartilage breaks off the talus but stays wedged in place. In the worst cases, the fragment is floating free in the joint space.

Other terms used to describe OLT include osteochondritis dissecans, transchondral fracture, talar dome fracture, and flake fracture. The condition is fairly uncommon. It is difficult to diagnose using X-rays, MRIs, or CT scans.

The authors of this study used arthroscopy to diagnose and treat OLT. They graded the condition based on severity as Grade I (mild) through Grade IV (severe). Treatment results were compared to see if outcomes were better for milder forms of the condition. Results showed that arthroscopic grading of OLT does predict final outcome after surgery. This is something that cannot be accomplished with X-rays or other more advanced forms of imaging.

Milder lesions without fragmentation had better results. Patients were more likely to have a good-to-excellent outcome without complications if the cartilage was not torn away. They were not able to compare results based on specific surgery done because there were too many different kinds of operations performed.

For example, some patients had holes drilled in the talus where the fragment had broken off. This procedure is called microfracture. It stimulates new growth of fibrocartilage. Other patients had the loose piece of cartilage removed (excision) with smoothing of the bone where the piece was broken off. And some patients had both excision and drilling.

Almost three-fourths of the group had good-to-excellent results. Most were able to return to all preoperative levels of activity. A few patients had complications such as plantar fasciitis, nerve pain or injury, or pain around the puncture wounds where the arthroscope entered through the skin. These problems all disappeared during the first six months of recovery.

Results of treatment did not appear to be linked with age, gender, or the side affected (right or left ankle). Delays between injury and surgery did not seem to make any difference in the final results. Worker's compensation patients did have poorer results compared with those who were not on worker's comp.

Follow-up was for at least five years. So it was possible to see if the long-term results changed over time. They found that more than one-third of the patients had a deterioration of their good results over time. Deep aching and pain with swelling recurred. Limited motion and instability occurred with degeneration of the joint. The reason(s) for this change was unknown.

The authors were unable to provi...

Click here to read the rest of this article from eOrthopod.com