Osteochondritis dissecans of the talar dome in a collegiate swimmer: a case report
Deutscher übersetzter Titel: | Osteochondritis dissecans der Talusrolle bei einem College-Schwimmer: Fallbericht |
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Autor: | Smith, M.; Chang, C.J. |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 33 (1998), 4, S. 365-371, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199903307674 |
Quelle: | BISp |
Abstract des Autors
Objective: To present the case of an intercollegiate swimmer with a stage IV lateral talar dome injury and associated bony fragments. Background: Lack of distinct diagnostic symptoms, low index of clinical suspicion, and the difficulty of visualizing the early stages of this injury on standard x-rays cause frequent misdiagnosis of talar dome lesions. Differential Diagnosis: Ganglion cyst, with inflammatory synovitis secondary to rupture of cyst; loose bodies from previous occult fracture; osteochondral fracture. Treatment: Initial treatment with nonsteroidal antiinflammatory drugs and a posterior splint for comfort, followed by arthroscopic excision of loose bodies with abrasion and drilling arthroplasty. Uniqueness: Patient presented to the team physician for care of acute left medial ankle pain after the athletic trainer had attempted to rupture a ganglion cyst on the anterolateral aspect of the patient's ankle. Conclusions: Increased clinical suspicion is necessary to correctly diagnose osteochondral lesions, particularty in the early stages. Aggressive treatment of talar dome lesions has a good success rate and may be an attractive option for competitive athletes. Verf.-Referat