Hepple S, Winson I G, Glew D
Avon Orthopaedic Centre, Southmead Hospital, Bristol, United Kingdom.
Foot Ankle Int. 1999 Dec;20(12):789-93. doi: 10.1177/107110079902001206.
Osteochondral lesions of the talus present a numerically small but therapeutically significant problem to the foot surgeon. The diagnosis and investigation of such lesions have been greatly enhanced by modern high resolution magnetic resonance imaging capabilities, which have provided far greater detail of the pathological anatomy. We have reviewed our experience in this area and suggest a revised classification for osteochondral lesions appropriate to the detail available on magnetic resonance imaging scans. The cause of osteochondral lesions is also discussed.
距骨骨软骨损伤对于足外科医生而言,在数量上虽少,但在治疗方面却是个重大问题。现代高分辨率磁共振成像技术极大地提升了对此类损伤的诊断与研究能力,它能提供更为详尽的病理解剖细节。我们回顾了在这一领域的经验,并针对磁共振成像扫描所呈现的细节,提出了一种适用于距骨骨软骨损伤的修订分类法。同时,我们也探讨了距骨骨软骨损伤的成因。