Rikken Quinten G H, Kerkhoffs Gino M M J
Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands; Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherland; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC/VUmc IOC Research Center, Amsterdam, The Netherlands.
Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands; Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherland; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), AMC/VUmc IOC Research Center, Amsterdam, The Netherlands.
Foot Ankle Clin. 2021 Mar;26(1):121-136. doi: 10.1016/j.fcl.2020.10.002. Epub 2020 Dec 11.
Osteochondral lesions of the talus (OLTs) are characterized by damage to the articular cartilage of the talus and its underlying subchondral bone. Up to 75% of OLTs are caused by trauma, such as an ankle sprain or fracture. Physical examination and imaging are crucial for diagnosis and characterization of an OLT. No superior treatment for OLTs exists. It is paramount that an evidence-based personalized treatment approach is applied to patients with OLTs because lesion and patient characteristics guide treatment. This current concepts review covers clinical and preclinical evidence on OLT etiology, presentation, diagnosis, and treatment, all based on the Amsterdam perspective.
距骨骨软骨损伤（OLTs）的特征是距骨关节软骨及其下方的软骨下骨受损。高达75%的距骨骨软骨损伤由创伤引起，如踝关节扭伤或骨折。体格检查和影像学检查对于距骨骨软骨损伤的诊断和特征描述至关重要。目前尚无针对距骨骨软骨损伤的最佳治疗方法。由于损伤和患者特征指导治疗，因此对距骨骨软骨损伤患者采用基于证据的个性化治疗方法至关重要。本综述涵盖了基于阿姆斯特丹视角的距骨骨软骨损伤病因、表现、诊断和治疗的临床和临床前证据。
