PDF(Pubmed)
Abstract：
Osteochondral lesions of the talus (OLTs) are lesions that occur before the physis closes and are frequently associated with acute ankle trauma. These lesions are often difficult to diagnose due to swelling and inflammation that are present after the initial injury. A growing body of literature has assessed the effects of OLTs in the adult population. However, the literature examining these lesions in the juvenile population is sparse. The purpose of this review is to provide a thorough understanding of OLTs, with a specific focus on the juvenile population. We evaluate the recent literature regarding the outcomes of various surgical treatment; modalities in the pediatric patient. While the outcomes after surgical treatment of pediatric OLTs are generally favorable, the paucity of investigation in this demographic is alarming. Further research is needed to better inform practitioners and families regarding these outcomes, as treatment plans are highly dependent on the individual patient in question.
摘要：
距骨的骨软骨损伤（OLTs）是发生在physis闭合之前的病变，通常与急性踝关节创伤有关。由于最初损伤后出现的肿胀和炎症，这些病变通常难以诊断。越来越多的文献评估了OLT在成年人口中的影响。然而,在青少年人群中研究这些病变的文献很少。这次审查的目的是提供对OLT的透彻了解，特别关注青少年人口。我们评估了有关各种手术治疗结果的最新文献；儿科患者的方式。虽然小儿OLT手术治疗后的结果通常是有利的，这一人口统计调查的缺乏令人震惊。需要进一步的研究，以更好地告知从业者和家庭关于这些结果，因为治疗计划高度依赖于所讨论的个体患者。
