Naslov
Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature

Autori
(Jurina, Andrija ; Delimar, Valentina ; Dimnjaković, Damjan ; Bojanić, Ivan)

Izvornik
Acta Clinica Croatica (0353-9466) 57 (2018), 2; 377-382

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Talus - injuries ; Cartilage, Articular ; Cartilage Diseases ; Conservative Treatment ; Magnetic Resonance Imaging ; Arthroscopy ; Case Reports

Sažetak
Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. Th e management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and suffi ciency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. Th ey presented with pain, swelling and tenderness over the anterolateral aspect of the right ankle. We recognized the LIFT lesion on the magnetic resonance imaging scans in patient 2, while in patient 1 the orientation of the fragment was recognized upon direct visualization during operative treatment. Both patients underwent arthroscopic procedure. Due to articular cartilage damage and insuffi ciency of the adjacent bone of the fragment, both patients were treated with excision followed by microfracture. Treatment of the LIFT lesion should start arthroscopically to allow clear evaluation of the osteochondral fragment, assessment of the talar defect and identifi cation, as well as treatment of associated disorders. If the articular cartilage appears intact with suffi cient subchondral bone, fi xation of the fragment is optimal management, otherwise excision and microfracture can be the treatment of choice

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA