McCullough C J, Venugopal V
Clin Orthop Relat Res. 1979 Oct(144):264-8.
An assessment of 10 patients with osteochondral lesions of the medial or lateral articular surface of the talar dome was based, first on subjective symptoms and second, on an analysis of weight-bearing anteroposterior and lateral X-rays of both ankles. The mean period of follow-up was 15 years 11 months (range 7 to 28 years). In 5 of the 6 patients treated conservatively, radiologic assessment showed that the lesion had failed to heal, but nevertheless in each instance the ankle joint was relatively asymptomatic. Talocrural osteoarthrosis developed in only 2 ankles and was considered to be an uncommon complication in those joints treated either conservatively or by excision of the osteochondral fragment.
对10例距骨穹窿内侧或外侧关节面骨软骨损伤患者的评估，首先基于主观症状，其次基于对双踝关节负重前后位和侧位X线片的分析。平均随访时间为15年11个月（范围7至28年）。在6例保守治疗的患者中，有5例经放射学评估显示损伤未愈合，但在每种情况下踝关节相对无症状。仅2例踝关节出现距小腿关节骨关节炎，被认为是保守治疗或切除骨软骨碎片治疗的关节中不常见的并发症。
