Anatomical and demographic findings in symptomatic osteochondral lesions of the talus

Ahmet Nadir Aydemir; Mehmet Yücens

Makale detayları

Anatomical and demographic findings in symptomatic osteochondral lesions of the talus

Yazarlar:

Ahmet Nadir Aydemir | Mehmet Yücens

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 3, pp.524-529

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001329365

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: Talar osteochondral defects involve damage to both the chondral surface and the underlying subchondral bone tissue. The primary etiological factors are thought to be major trauma or repetitive microtrauma. Clinically, patients often report ankle pain, swelling, and restricted joint mobility, particularly after prolonged standing or physical activity. This study aims to examine the demographic characteristics of patients who were diagnosed and treated for talar osteochondral lesions presenting with symptoms at our medical center. Materials and methods: A retrospective evaluation was conducted on patients diagnosed with osteochondral lesions of the talus, who had been examined and managed by a specialized foot and ankle surgeon within the orthopedic and traumatology department of an university hospital over the past five years. Key parameters recorded included the patients age, sex, the laterality of the affected ankle right or left, and the precise anatomical location of the osteochondral lesion, distinguishing between medial and lateral involvement of the talar dome. Results: This study included a total of 42 patients, with 27 being female and 15 male. The age distribution of the study cohort spanned from 18 to 70 years, with an average age calculated at 46 years. In terms of lesion localization, 36 cases were located on the medial talus, while 6 were found on the lateral aspect. Statistical analysis revealed a significant tendency for osteochondral lesions to occur on the medial side of the talus p1.87x10-¹¹. When assessing the affected ankle, 24 cases involved the left ankle, while 18 were in the right ankle. However, there was no statistically significant difference in laterality p0.175. Conclusion: Talar osteochondral defect is a condition that affecting both chondral and subchondral tissue, appear to be more frequently located medially in symptomatic patients and tend to be more common in females.

 Purpose: Talar osteochondral defects involve damage to both the chondral surface and the underlying subchondral bone tissue. The primary etiological factors are thought to be major trauma or repetitive microtrauma. Clinically, patients often report ankle pain, swelling, and restricted joint mobility, particularly after prolonged standing or physical activity. This study aims to examine the demographic characteristics of patients who were diagnosed and treated for talar osteochondral lesions presenting with symptoms at our medical center. Materials and methods: A retrospective evaluation was conducted on patients diagnosed with osteochondral lesions of the talus, who had been examined and managed by a specialized foot and ankle surgeon within the orthopedic and traumatology department of an university hospital over the past five years. Key parameters recorded included the patients age, sex, the laterality of the affected ankle right or left, and the precise anatomical location of the osteochondral lesion, distinguishing between medial and lateral involvement of the talar dome. Results: This study included a total of 42 patients, with 27 being female and 15 male. The age distribution of the study cohort spanned from 18 to 70 years, with an average age calculated at 46 years. In terms of lesion localization, 36 cases were located on the medial talus, while 6 were found on the lateral aspect. Statistical analysis revealed a significant tendency for osteochondral lesions to occur on the medial side of the talus p1.87x10-¹¹. When assessing the affected ankle, 24 cases involved the left ankle, while 18 were in the right ankle. However, there was no statistically significant difference in laterality p0.175. Conclusion: Talar osteochondral defect is a condition that affecting both chondral and subchondral tissue, appear to be more frequently located medially in symptomatic patients and tend to be more common in females.

 Purpose: Talar osteochondral defects involve damage to both the chondral surface and the underlying subchondral bone tissue. The primary etiological factors are thought to be major trauma or repetitive microtrauma. Clinically, patients often report ankle pain, swelling, and restricted joint mobility, particularly after prolonged standing or physical activity. This study aims to examine the demographic characteristics of patients who were diagnosed and treated for talar osteochondral lesions presenting with symptoms at our medical center. Materials and methods: A retrospective evaluation was conducted on patients diagnosed with osteochondral lesions of the talus, who had been examined and managed by a specialized foot and ankle surgeon within the orthopedic and traumatology department of an university hospital over the past five years. Key parameters recorded included the patients age, sex, the laterality of the affected ankle right or left, and the precise anatomical location of the osteochondral lesion, distinguishing between medial and lateral involvement of the talar dome. Results: This study included a total of 42 patients, with 27 being female and 15 male. The age distribution of the study cohort spanned from 18 to 70 years, with an average age calculated at 46 years. In terms of lesion localization, 36 cases were located on the medial talus, while 6 were found on the lateral aspect. Statistical analysis revealed a significant tendency for osteochondral lesions to occur on the medial side of the talus p1.87x10-¹¹. When assessing the affected ankle, 24 cases involved the left ankle, while 18 were in the right ankle. However, there was no statistically significant difference in laterality p0.175. Conclusion: Talar osteochondral defect is a condition that affecting both chondral and subchondral tissue, appear to be more frequently located medially in symptomatic patients and tend to be more common in females.

 Amaç: Talusun osteokondral defektleri hem kıkırdak yüzeyin hem de alttaki subkondral kemik dokusunun hasarını içerir. Başlıca etiyolojik faktörlerin büyük travmalar veya tekrarlayan mikrotravmalar olduğu düşünülmektedir. Klinik olarak hastalar sıklıkla ayak bileği ağrısı, şişlik ve özellikle uzun süre ayakta durma veya fiziksel aktivite sonrasında eklem hareket kısıtlılığı bildirmektedir. Bu çalışma, tıp merkezimizde semptomlarla başvuran ve tanı konularak tedavi edilen talus osteokondral lezyonları bulunan hastaların demografik özelliklerini incelemeyi amaçlamaktadır. Gereç ve yöntem: Son beş yıl içinde bir üniversite hastanesinin ortopedi ve travmatoloji bölümünde ayak ve ayak bileği cerrahisi konusunda uzmanlaşmış bir cerrah tarafından incelenen ve yönetilen, talusun osteokondral lezyonu tanısı almış hastalar retrospektif olarak değerlendirildi. Kayıt altına alınan temel parametreler arasında hastaların yaşı, cinsiyeti, lezyonun etkilenen ayak bileğinde sağ veya sol yerleşimi ve osteokondral lezyonun anatomik konumu medial veya lateral talus kubbesi yer aldı. Bulgular: Çalışmaya toplamda 42 hasta dahil edildi; bunların 27si kadın, 15i erkekti. Çalışma grubunun yaş dağılımı 18 ile 70 yıl arasında değişmekte olup, ortalama yaş 46 olarak hesaplandı. Lezyon lokalizasyonu açısından 36 olgu medial talusta, 6 olgu ise lateral talusta bulundu. İstatistiksel analiz, osteokondral lezyonların medial talusta belirgin şekilde daha sık görüldüğünü ortaya koydu p1,87x10-¹¹. Etkilenen ayak bileği açısından 24 olgu sol ayak bileğinde, 18 olgu ise sağ ayak bileğinde görüldü. Ancak laterallik açısından istatistiksel olarak anlamlı bir fark bulunmadı p0,175. Sonuç: Talusun osteokondral defekti hem kıkırdak hem de subkondral dokuyu etkileyen bir durum olup, semptomatik hastalarda daha sık olarak medialde lokalize olduğu ve kadınlarda daha yaygın görüldüğü tespit edilmiştir.

Makale detayları

Anatomical and demographic findings in symptomatic osteochondral lesions of the talus

Yazarlar:

Ahmet Nadir Aydemir | Mehmet Yücens

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 3, pp.524-529

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001329365

pISSN:

1308-0865

Talus

demographic

osteochondralTalus

demografik

osteokondral

Sayı

Makale detayları

Anatomical and demographic findings in symptomatic osteochondral lesions of the talus

Yazarlar: Ahmet Nadir Aydemir | Mehmet Yücens

Yayıncı: Pamukkale University

Ana Başlıklar: Ortopedi

Dergi: Pamukkale Tıp Dergisi Vol.18 Issue 3, pp.524-529

Belge Tipi: Makale

Yayın Tarihi: 2/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001329365

pISSN: 1308-0865

Talus

demographic

osteochondralTalus

demografik

osteokondral

Sayı

Yazarlar:

Ahmet Nadir Aydemir | Mehmet Yücens

Yayıncı:

Pamukkale University

Ana Başlıklar:

Ortopedi

Dergi:

Pamukkale Tıp Dergisi Vol.18 Issue 3, pp.524-529

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001329365

pISSN:

1308-0865