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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41–A:988–1020.
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.
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.
Ferkel RD, Sgaglione NA, Del Pixxo W. Arthroscopic treatment of osteochondral lesions of the talus: technique and results. Orthop Trans. 1990;14:172.
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 Instructional course lectures. 2013; Unpublished paper presented at the American Association of Orthopaedic Surgeons annual meeting 2013, Chicago, Illinois, USA.
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.
Loomer R, Fisher C, Lloyd-Smith R, Sisler J, Cooner T. Osteochondral lesions of the talus. Am J Sports Med. 1993;21:13–9.
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.
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.
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.
Stone JW. Osteochondral lesions of the talar dome. J Am Ac Orthop Surg. 1996;4:63–73.
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.
Wiewiorski M, Pagenstert G, Rasch H, Jacob AL, Valderrabano V. Pain in osteochondral lesions. Foot Ankle Int. 2011;4:92–9.
www.acr.org/media/ACR/Documents/AppCriteria/Diagnostic/ChronicAnklePain.pdf.16.
Zinman C, Wolfson N, Reis ND. Osteochondritis of the dome of the talus. J Bone Joint Surg Am. 1988;70:1017–9.
Conflict of Interests
The author has no current conflict of interests with the products presented.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 ESSKA
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-642-45097-6_4
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-45096-9
Online ISBN: 978-3-642-45097-6
eBook Packages: MedicineMedicine (R0)