Scharling M
Acta Orthop Scand. 1978 Feb;49(1):89-94. doi: 10.3109/17453677809005731.
Nineteen patients showing radiological subchondral changes in the trochlea tali are submitted. In 16 cases the changes were osteochondritis dissecans, either with sequestra or with multilocular cysts, and in three cases so-called synovial cysts. The site was in 13 cases the upper medial and in five cases the upper lateral angle of the talus, and in one patient both. In five of the six lateral cases symptoms had started following trauma, while this applied to only five of the 13 medial cases. The three solitary cysts showed marked similarity to the other cases with respect to symptoms, signs, operative findings, as well as possible traumatic aetiology.
本文报告了19例距骨滑车出现放射学软骨下改变的患者。其中16例为剥脱性骨软骨炎，伴有骨块或多房囊肿，3例为所谓的滑膜囊肿。病变部位在13例位于距骨上内侧角，5例位于距骨上外侧角，1例双侧均有病变。6例外侧病变中有5例症状始于外伤，而13例内侧病变中只有5例如此。3例孤立性囊肿在症状、体征、手术所见以及可能的创伤病因方面与其他病例表现出明显相似性。
