背景:涉及距下关节的距骨外侧突骨软骨损伤很少见;由于报道很少,因此最佳的手术治疗仍有待澄清。此外,双边病例极为罕见。因此,涉及距下关节的距骨外侧突双侧骨软骨损伤的手术治疗的临床结果尚未完全阐明。
方法:一名踢足球的16岁男孩因双侧后足疼痛就诊。即使经过3个月的保守治疗,症状仍然存在。患者和家属要求手术治疗以缓解症状。
方法:患者诊断为距骨外侧突双侧骨软骨损伤,根据计算机断层扫描和磁共振成像结果,涉及距下关节。
方法:双侧进行关节镜下清理和微骨折。
结果:双足的术后计算机断层扫描和磁共振成像显示软骨下骨重塑。患者恢复到受伤前的水平,没有疼痛。
结论:本报告描述了距骨外侧突的双侧骨软骨损伤,涉及距下关节。关节镜下清理和微骨折可有效缓解症状和软骨下骨重建。据我们所知,这是关节镜治疗距骨外侧突骨软骨损伤累及距下关节的首次报道。
BACKGROUND: Osteochondral lesions on the lateral process of the
talus involving the subtalar joint are rare; the optimal surgical treatment remains to be clarified as there are few
reports. Additionally, bilateral cases are extremely rare. Therefore, the clinical outcomes of the surgical treatment for bilateral osteochondral lesions on the lateral process of the
talus involving the subtalar joint have not been fully elucidated.
METHODS: A 16-year-old boy who played soccer presented to our hospital with bilateral hindfoot pain. The symptoms persisted even after 3 months of conservative treatment. The patient and family requested surgical treatment to relieve the symptoms.
METHODS: The patient was diagnosed with bilateral osteochondral lesions on the lateral process of the talus, involving the subtalar joint based on computed tomography and magnetic resonance imaging findings.
METHODS: Arthroscopic debridement and microfracture were performed bilaterally.
RESULTS: Postoperative computed tomography and magnetic resonance imaging of both feet revealed remodeling of the subchondral bone. The patient returned to play at the pre-injury level with no pain.
CONCLUSIONS: This report describes a
case of bilateral osteochondral lesions on the lateral process of the
talus, involving the subtalar joint. Arthroscopic debridement and microfracture were effective in relieving symptoms and the subchondral bone remodeling. To the best of our knowledge, this is the first report of arthroscopic treatment of osteochondral lesions of the lateral process of the talus involving the subtalar joint.