| Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? | |
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MedLine Citation:
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PMID: 15686236 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our aim in this prospective study was to determine the best diagnostic method for discriminating between patients with and without osteochondral lesions of the talus, with special relevance to the value of MRI compared with the new technique of multidetector helical CT. We compared the diagnostic value of history, physical examination and standard radiography, a 4 cm heel-rise view, helical CT, MRI, and diagnostic arthroscopy for simultaneous detection or exclusion of osteochondral lesions of the talus. A consecutive series of 103 patients (104 ankles) with chronic ankle pain was included in this study. Of these, 29 with 35 osteochondral lesions were identified. Twenty-seven lesions were located in the talus. Our findings showed that helical CT, MRI and diagnostic arthroscopy were significantly better than history, physical examination and standard radiography for detecting or excluding an osteochondral lesion. Also, MRI and diagnostic arthroscopy performed better than a mortise view with a 4 cm heel-rise. We did not find a statistically significant difference between helical CT and MRI. Diagnostic arthroscopy did not perform better than helical CT and MRI for detecting or excluding an osteochondral lesion. |
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Authors:
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R A W Verhagen; M Maas; M G W Dijkgraaf; J L Tol; R Krips; C Niek van Dijk |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 87 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2005 Jan |
Date Detail:
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Created Date: 2005-02-02 Completed Date: 2005-02-22 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 41-6 Citation Subset: AIM; IM |
Affiliation:
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Academic Medical Centre, Amsterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Ankle Injuries / complications Arthroscopy Female Humans Magnetic Resonance Imaging Male Middle Aged Osteochondritis / diagnosis*, etiology, radiography Physical Examination Predictive Value of Tests Prospective Studies Sensitivity and Specificity Talus* / pathology, radiography Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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