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Diagnosis of Osteochondral Defects of the Talus by Computerized Tomography (CT) and Single-Photon Emission Computed Tomography (SPECT-CT)

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Talar Osteochondral Defects

Abstract

In diagnosing osteochondral defects, MRI and CT have similar diagnostic accuracies. CT is faster, better for preoperative planning, cheaper and allows the ankle to be depicted in various anatomical positions in a 3D manner. CT enables clear delineation of the true osteochondral defect, will not overcall the size due to bone marrow edema (as seen on MRI), and helps assessing the extent of the osseous defect in the presence of cystic defects.

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References

  1. van Bergen CJA, Tuijthof GJM, Blankevoort L, Maas M, Kerkhoffs GM, van Dijk CN. Computed tomography of the ankle in full plantar flexion: a reliable method for preoperative planning of arthroscopic access to osteochondral defects of the talus. Arthroscopy. 2012;288:985–92.

    Article  Google Scholar 

  2. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41–A:988–1020.

    PubMed  Google Scholar 

  3. Biswas D, Bible JE, Bohan M, Simpson AK, Whang PG, Grauer JN. Radiation exposure from musculoskeletal computerized tomographic scans. J Bone Joint Surg Am. 2009;91:1882–9.

    Article  PubMed  Google Scholar 

  4. El-Khoury GY, Alliman KJ, Lundberg HJ, Rudert MJ, Brown TD, Saltzman CL. Cartilage thickness in cadaveric ankles: measurement with double contrast multi-detector row CT arthrography versus MR imaging. Radiology. 2004;233:768–73.

    Article  PubMed  Google Scholar 

  5. Ferkel RD, Sgaglione NA, Del Pixxo W. Arthroscopic treatment of osteochondral lesions of the talus: technique and results. Orthop Trans. 1990;14:172.

    Google Scholar 

  6. Ferkel RD, Van Dijk CN, Younger A. Osteochondral lesions of the talus: current treatment dilemmas. Instructional course lectures. 2013; Unpublished paper presented at the American Association of Orthopaedic Surgeons annual meeting 2013, Chicago, Illinois, USA.

    Google Scholar 

  7. Leumann A, Valderrabano V, PLaass C, Rasch H, Studler U, Hintermann B, Pagenstert GI. A novel imaging method for osteochondral lesions of the talus- comparison of SPECT-CT with MRI. Am J Sports Med. 2011;39:1095–101.

    Article  PubMed  Google Scholar 

  8. Loomer R, Fisher C, Lloyd-Smith R, Sisler J, Cooner T. Osteochondral lesions of the talus. Am J Sports Med. 1993;21:13–9.

    Article  CAS  PubMed  Google Scholar 

  9. Pagenstert GI, Barg A, Leumann AG, Rasch H, Müller-Brand J, Hintermann B, Valderrabano V. SPECT-CT imaging in degenerative joint disease of the foot and ankle. J Bone Joint Surg Br. 2009;91:1191–6.

    Article  CAS  PubMed  Google Scholar 

  10. Schmid MR, Pfirrmann CWA, Hodler J, Vienne P, Zanetti M. Cartilage lesions in the ankle joint: comparison of MR arthrography and CT arthrography. Skeletal Radiol. 2003;32:259–65.

    Article  CAS  PubMed  Google Scholar 

  11. Sijbrandij ES, van Gils APG, Louwerens JW, de Lange EE. Posttraumatic subchondral bone contusions and fractures of the talotibial joint: occurrence of “kissing” lesions. AJR Am J Roentgenol. 2000;175:1007–10.

    Article  Google Scholar 

  12. Stone JW. Osteochondral lesions of the talar dome. J Am Ac Orthop Surg. 1996;4:63–73.

    Google Scholar 

  13. Verhagen RAW, Maas M, Dijkgraaf MGW, Tol JL, Krips R, van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus: is MRI superior to helical CT? J Bone Joint Surg Br. 2005;87-B:41–6.

    Google Scholar 

  14. Wiewiorski M, Pagenstert G, Rasch H, Jacob AL, Valderrabano V. Pain in osteochondral lesions. Foot Ankle Int. 2011;4:92–9.

    Article  Google Scholar 

  15. www.acr.org/media/ACR/Documents/AppCriteria/Diagnostic/ChronicAnklePain.pdf.16.

  16. Zinman C, Wolfson N, Reis ND. Osteochondritis of the dome of the talus. J Bone Joint Surg Am. 1988;70:1017–9.

    CAS  PubMed  Google Scholar 

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Conflict of Interests

The author has no current conflict of interests with the products presented.

Author information

Authors and Affiliations

  1. Department of Radiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

    Mies A. Korteweg MD, PhD, Geert J. Streekstra PhD & Mario Maas MD, PhD

  2. Orthopaedic Department, University Hospital of Basel, Basel, Switzerland

    Martin Wiewiorski MD & Victor Valderrabano MD, PhD

  3. LA Nuklearmedizin/Radiologie, Luzerner Kantonsspital, Luzern, Switzerland

    Klaus Strobel MD, PhD

Authors
  1. Mies A. Korteweg MD, PhD
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  2. Martin Wiewiorski MD
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  3. Geert J. Streekstra PhD
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  4. Klaus Strobel MD, PhD
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  5. Victor Valderrabano MD, PhD
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  6. Mario Maas MD, PhD
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Corresponding author

Correspondence to Mario Maas MD, PhD .

Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

  2. Orthopaedic Surgery and Traumatology, Hospital for Special Surgery, New York, New York, USA

    John G. Kennedy

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Korteweg, M.A., Wiewiorski, M., Streekstra, G.J., Strobel, K., Valderrabano, V., Maas, M. (2014). Diagnosis of Osteochondral Defects of the Talus by Computerized Tomography (CT) and Single-Photon Emission Computed Tomography (SPECT-CT). In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_4

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  • DOI: https://doi.org/10.1007/978-3-642-45097-6_4

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45096-9

  • Online ISBN: 978-3-642-45097-6

  • eBook Packages: MedicineMedicine (R0)

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