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LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE
SUMMARY – Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options d...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531999/ https://www.ncbi.nlm.nih.gov/pubmed/30431734 http://dx.doi.org/10.20471/acc.2018.57.02.21 |
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author | Jurina, Andrija Delimar, Valentina Dimnjaković, Damjan Bojanić, Ivan |
author_facet | Jurina, Andrija Delimar, Valentina Dimnjaković, Damjan Bojanić, Ivan |
author_sort | Jurina, Andrija |
collection | PubMed |
description | SUMMARY – Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. They presented with pain, swelling and tenderness over the anterolateral aspect of the right ankle. We recognized the LIFT lesion on the magnetic resonance imaging scans in patient 2, while in patient 1 the orientation of the fragment was recognized upon direct visualization during operative treatment. Both patients underwent arthroscopic procedure. Due to articular cartilage damage and insufficiency of the adjacent bone of the fragment, both patients were treated with excision followed by microfracture. Treatment of the LIFT lesion should start arthroscopically to allow clear evaluation of the osteochondral fragment, assessment of the talar defect and identification, as well as treatment of associated disorders. If the articular cartilage appears intact with sufficient subchondral bone, fixation of the fragment is optimal management, otherwise excision and microfracture can be the treatment of choice. |
format | Online Article Text |
id | pubmed-6531999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb |
record_format | MEDLINE/PubMed |
spelling | pubmed-65319992019-06-04 LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE Jurina, Andrija Delimar, Valentina Dimnjaković, Damjan Bojanić, Ivan Acta Clin Croat Case Report SUMMARY – Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. They presented with pain, swelling and tenderness over the anterolateral aspect of the right ankle. We recognized the LIFT lesion on the magnetic resonance imaging scans in patient 2, while in patient 1 the orientation of the fragment was recognized upon direct visualization during operative treatment. Both patients underwent arthroscopic procedure. Due to articular cartilage damage and insufficiency of the adjacent bone of the fragment, both patients were treated with excision followed by microfracture. Treatment of the LIFT lesion should start arthroscopically to allow clear evaluation of the osteochondral fragment, assessment of the talar defect and identification, as well as treatment of associated disorders. If the articular cartilage appears intact with sufficient subchondral bone, fixation of the fragment is optimal management, otherwise excision and microfracture can be the treatment of choice. Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2018-06 /pmc/articles/PMC6531999/ /pubmed/30431734 http://dx.doi.org/10.20471/acc.2018.57.02.21 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License. |
spellingShingle | Case Report Jurina, Andrija Delimar, Valentina Dimnjaković, Damjan Bojanić, Ivan LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title | LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title_full | LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title_fullStr | LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title_full_unstemmed | LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title_short | LATERAL INVERTED OSTEOCHONDRAL FRACTURE OF THE TALUS: CASE REPORTS AND REVIEW OF THE LITERATURE |
title_sort | lateral inverted osteochondral fracture of the talus: case reports and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531999/ https://www.ncbi.nlm.nih.gov/pubmed/30431734 http://dx.doi.org/10.20471/acc.2018.57.02.21 |
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