Bauer R S, Ochsner P E
Z Orthop Ihre Grenzgeb. 1987 Mar-Apr;125(2):194-200. doi: 10.1055/s-2008-1044914.
The histories of 56 patients with the diagnosis "osteochondrosis dissecans tali" were retrospectively analyzed with regard to etiology, localization, therapy, course, and prognosis. Some of the patients were reexamined. In 33 patients it is highly probable that the osteochondrosis dissecans was not associated with the sequelae of osteochondral fractures. The typical X-ray image is that of a medial, deep osteolysis on the trochlea of the talus, close to the margin, with one or more roundish dissections. There are usually no degenerative or posttraumatic changes. The history and frequent bilateralism tend to rule out trauma as the cause. In the authors' opinion, therefore, the term "osteochondrosis dissecans" should not be used for osteochondral fractures and their sequelae. A number of borderline cases are critically discussed.
对56例诊断为“距骨剥脱性骨软骨炎”患者的病史进行了回顾性分析，内容涉及病因、病变部位、治疗、病程及预后。部分患者接受了复查。在33例患者中，剥脱性骨软骨炎极有可能与骨软骨骨折后遗症无关。典型的X线影像表现为距骨滑车内侧靠近边缘处的深部骨质溶解，伴有一个或多个圆形分离灶。通常无退变或创伤后改变。病史及双侧发病的情况往往可排除创伤作为病因。因此，作者认为，“剥脱性骨软骨炎”一词不应用于骨软骨骨折及其后遗症。文中对一些临界病例进行了批判性讨论。
