Blom J M, Strijk S P
Radiol Clin (Basel). 1975;44(5):387-96.
Osteochondral fracture of the trochlea tali, which can result in osteochondritis dissecans of this trochlea, is often not recognized as such and therefore not adequately treated. The nonrecognition is mainly due to the fact that the fracture can either remain asymptomatic or produce symptoms of inversion-distortion; to a lesser degree it is also due to the fact that the lesion is not identified in the radiograph. In view of these facts it would seem necessary in all cases of distorsion to make an X-ray examination of the ankle, ascertaining that the trochlea tali is adequately visualized. Unless the symptoms abate within a week, radiological examination should be repeated. The same applies to patients whose initial recovery is followed by a relapse of symptoms. Surgical treatment of choice for osteochondral fractures. The symptomatology and therapeutic results in 46 osteochondral fractures studied were in agreement with data from the literature. Therapeutic results can be improved by earlier diagnosis and more adequate treatment of the condition.
距骨滑车的骨软骨骨折可导致该滑车的剥脱性骨软骨炎，但这种骨折常未被识别，因此未得到充分治疗。未被识别主要是因为骨折可能无症状或产生内翻扭伤症状；在较小程度上也是因为在X线片上未发现该病变。鉴于这些情况，在所有扭伤病例中似乎有必要对踝关节进行X线检查，确保距骨滑车能得到充分显影。除非症状在一周内缓解，否则应重复进行放射学检查。对于症状最初缓解后又复发的患者也是如此。骨软骨骨折的首选治疗方法是手术。对46例骨软骨骨折的症状学和治疗结果的研究与文献数据一致。通过早期诊断和更充分的治疗可以改善治疗结果。
