Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions Scarborough ME

Looking for information on Arthroscopic Diagnosis and Treatment of Osteochondral Talar Lesions in Scarborough? We have compiled a list of businesses and services around Scarborough 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 Scarborough.

Robert B Keller
(207) 885-4479
49 Spring St
Scarborough, ME
Specialty
Orthopedic Surgery

Data Provided By:
Daniel W Wilson, MD
(207) 885-0011
11 Indian Woods Rd
Scarborough, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Colombo, Fac Of Med, Colombo, Sri Lanka
Graduation Year: 1950

Data Provided By:
Gregory Clarence Pomeroy, MD
(207) 774-3338
254 Western Ave
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Royal Coll Of Surgeons In Ireland, Med Sch, Dublin, Ireland
Graduation Year: 1989

Data Provided By:
Craig Ridges Barrow, MD
254 Western Ave
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1997

Data Provided By:
Dennis John Sullivan, MD
(207) 774-4523
100 Foden Rd Ste 307
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1978

Data Provided By:
Stanley James Bigos, MD
(206) 548-4288
100 US Route 1
Scarborough, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1975

Data Provided By:
Timothy Cyrus Gueramy, MD
254 Western Ave
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1996

Data Provided By:
Dr.Ann Babbitt
(207) 828-1133
800 Main St # 3
South Portland, ME
Gender
F
Education
Medical School: Med Coll Of Wi
Year of Graduation: 1977
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 1, reviews.

Data Provided By:
Donald Geo Belliveau, MD
(207) 284-5946
468 Boom Rd
Saco, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1956

Data Provided By:
Ann Margaret Babbitt, MD
(207) 828-1133
800 Main St
South Portland, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1977

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