Acute bone bruises of the talus after ankle injury need to be managed differently from osteochondral defects. Bone bruises have a benign course, but there may be persistent edema. A bone bruise should not delay rehabilitation unless symptoms persist or significant edema is close to the subchondral plate. Osteochondral defects have a less predictable prognosis, and rehabilitation should aim at promoting healing of the subchondral fracture. A period of nonweight bearing reduces the cyclical pressure load through the fissure and promotes healing. Surgery should be reserved for chronic symptomatic lesions or for those patients undergoing lateral ligament reconstruction.

Talus osteochondral bruises and defects: diagnosis and differentiation / Mccollum, Ga; Calder, Jd; Longo, Ug; Loppini, M; Romeo, G; van Dijk, Cn; Maffulli, Nicola; Denaro, V.. - In: FOOT AND ANKLE CLINICS. - ISSN 1083-7515. - (2013), pp. 35-47.

Talus osteochondral bruises and defects: diagnosis and differentiation

MAFFULLI, Nicola;
2013

Abstract

Acute bone bruises of the talus after ankle injury need to be managed differently from osteochondral defects. Bone bruises have a benign course, but there may be persistent edema. A bone bruise should not delay rehabilitation unless symptoms persist or significant edema is close to the subchondral plate. Osteochondral defects have a less predictable prognosis, and rehabilitation should aim at promoting healing of the subchondral fracture. A period of nonweight bearing reduces the cyclical pressure load through the fissure and promotes healing. Surgery should be reserved for chronic symptomatic lesions or for those patients undergoing lateral ligament reconstruction.
2013
01 Pubblicazione su rivista::01a Articolo in rivista
Talus osteochondral bruises and defects: diagnosis and differentiation / Mccollum, Ga; Calder, Jd; Longo, Ug; Loppini, M; Romeo, G; van Dijk, Cn; Maffulli, Nicola; Denaro, V.. - In: FOOT AND ANKLE CLINICS. - ISSN 1083-7515. - (2013), pp. 35-47.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1695278
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