Incidence of Coexisting Talar and Tibial Osteochondral Lesions Correlates With Patient Age and Lesion Location
Background: The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized. Purpose: To determine the incidence of coexisting tibial and talar OCLs, assess the...
Saved in:
Published in | Orthopaedic journal of sports medicine Vol. 6; no. 8; p. 2325967118790965 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Los Angeles, CA
SAGE Publications
01.08.2018
Sage Publications Ltd |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Background:
The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized.
Purpose:
To determine the incidence of coexisting tibial and talar OCLs, assess the morphologic characteristics of these lesions, and evaluate whether these characteristics are predictive of outcome.
Study Design:
Case series; Level of evidence, 4.
Methods:
A total of 83 patients who underwent surgery for a talar OCL were evaluated for coexisting OCLs of the distal tibia with preoperative magnetic resonance images. Size, location, containment, International Cartilage Repair Society (ICRS) grade, patient age, and patient sex were analyzed for predictors of coexisting lesions or patient outcome. The talar and tibial surfaces were each divided into 9 zones, with 1 corresponding to the most anteromedial region and proceeding laterally and then posteriorly. The Foot and Ankle Outcome Score (FAOS) was evaluated pre- and postoperatively.
Results:
Twenty-six patients (31%) had coexisting tibial and talar OCLs, with 9 (35%) identified as kissing lesions. Age correlated with coexisting lesion incidence, as older patients were more likely to have a coexisting tibial OCL (P = .038). More than half of talar OCLs were found in zone 4 (61%), whereas the majority of tibial OCLs were located in zones 2, 4, and 5 (19% each). Patients with coexisting lesions were more likely to have a lateral talar OCL (P = .028), while those without a coexisting tibial lesion were more likely to have a talar OCL in zone 4 (P = .016). There was no difference in FAOS result or lesion size between patients with and without coexisting OCLs, but patients with coexisting lesions were more likely to have an ICRS grade 4 talar OCL (P = .034). For patients with coexisting lesions, kissing lesions were more likely to be located in zone 6 (P = .043). There was no difference in OCL size or containment between kissing and nonkissing coexisting OCLs.
Conclusion:
The incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology. The location of a talar OCL correlates with the incidence of a coexisting tibial OCL. |
---|---|
AbstractList | BACKGROUNDThe incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized. PURPOSETo determine the incidence of coexisting tibial and talar OCLs, assess the morphologic characteristics of these lesions, and evaluate whether these characteristics are predictive of outcome. STUDY DESIGNCase series; Level of evidence, 4. METHODSA total of 83 patients who underwent surgery for a talar OCL were evaluated for coexisting OCLs of the distal tibia with preoperative magnetic resonance images. Size, location, containment, International Cartilage Repair Society (ICRS) grade, patient age, and patient sex were analyzed for predictors of coexisting lesions or patient outcome. The talar and tibial surfaces were each divided into 9 zones, with 1 corresponding to the most anteromedial region and proceeding laterally and then posteriorly. The Foot and Ankle Outcome Score (FAOS) was evaluated pre- and postoperatively. RESULTSTwenty-six patients (31%) had coexisting tibial and talar OCLs, with 9 (35%) identified as kissing lesions. Age correlated with coexisting lesion incidence, as older patients were more likely to have a coexisting tibial OCL (P = .038). More than half of talar OCLs were found in zone 4 (61%), whereas the majority of tibial OCLs were located in zones 2, 4, and 5 (19% each). Patients with coexisting lesions were more likely to have a lateral talar OCL (P = .028), while those without a coexisting tibial lesion were more likely to have a talar OCL in zone 4 (P = .016). There was no difference in FAOS result or lesion size between patients with and without coexisting OCLs, but patients with coexisting lesions were more likely to have an ICRS grade 4 talar OCL (P = .034). For patients with coexisting lesions, kissing lesions were more likely to be located in zone 6 (P = .043). There was no difference in OCL size or containment between kissing and nonkissing coexisting OCLs. CONCLUSIONThe incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology. The location of a talar OCL correlates with the incidence of a coexisting tibial OCL. Background: The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized. Purpose: To determine the incidence of coexisting tibial and talar OCLs, assess the morphologic characteristics of these lesions, and evaluate whether these characteristics are predictive of outcome. Study Design: Case series; Level of evidence, 4. Methods: A total of 83 patients who underwent surgery for a talar OCL were evaluated for coexisting OCLs of the distal tibia with preoperative magnetic resonance images. Size, location, containment, International Cartilage Repair Society (ICRS) grade, patient age, and patient sex were analyzed for predictors of coexisting lesions or patient outcome. The talar and tibial surfaces were each divided into 9 zones, with 1 corresponding to the most anteromedial region and proceeding laterally and then posteriorly. The Foot and Ankle Outcome Score (FAOS) was evaluated pre- and postoperatively. Results: Twenty-six patients (31%) had coexisting tibial and talar OCLs, with 9 (35%) identified as kissing lesions. Age correlated with coexisting lesion incidence, as older patients were more likely to have a coexisting tibial OCL (P = .038). More than half of talar OCLs were found in zone 4 (61%), whereas the majority of tibial OCLs were located in zones 2, 4, and 5 (19% each). Patients with coexisting lesions were more likely to have a lateral talar OCL (P = .028), while those without a coexisting tibial lesion were more likely to have a talar OCL in zone 4 (P = .016). There was no difference in FAOS result or lesion size between patients with and without coexisting OCLs, but patients with coexisting lesions were more likely to have an ICRS grade 4 talar OCL (P = .034). For patients with coexisting lesions, kissing lesions were more likely to be located in zone 6 (P = .043). There was no difference in OCL size or containment between kissing and nonkissing coexisting OCLs. Conclusion: The incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology. The location of a talar OCL correlates with the incidence of a coexisting tibial OCL. The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized. To determine the incidence of coexisting tibial and talar OCLs, assess the morphologic characteristics of these lesions, and evaluate whether these characteristics are predictive of outcome. Case series; Level of evidence, 4. A total of 83 patients who underwent surgery for a talar OCL were evaluated for coexisting OCLs of the distal tibia with preoperative magnetic resonance images. Size, location, containment, International Cartilage Repair Society (ICRS) grade, patient age, and patient sex were analyzed for predictors of coexisting lesions or patient outcome. The talar and tibial surfaces were each divided into 9 zones, with 1 corresponding to the most anteromedial region and proceeding laterally and then posteriorly. The Foot and Ankle Outcome Score (FAOS) was evaluated pre- and postoperatively. Twenty-six patients (31%) had coexisting tibial and talar OCLs, with 9 (35%) identified as kissing lesions. Age correlated with coexisting lesion incidence, as older patients were more likely to have a coexisting tibial OCL ( = .038). More than half of talar OCLs were found in zone 4 (61%), whereas the majority of tibial OCLs were located in zones 2, 4, and 5 (19% each). Patients with coexisting lesions were more likely to have a lateral talar OCL ( = .028), while those without a coexisting tibial lesion were more likely to have a talar OCL in zone 4 ( = .016). There was no difference in FAOS result or lesion size between patients with and without coexisting OCLs, but patients with coexisting lesions were more likely to have an ICRS grade 4 talar OCL ( = .034). For patients with coexisting lesions, kissing lesions were more likely to be located in zone 6 ( = .043). There was no difference in OCL size or containment between kissing and nonkissing coexisting OCLs. The incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology. The location of a talar OCL correlates with the incidence of a coexisting tibial OCL. Background: The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these lesions have not been extensively characterized. Purpose: To determine the incidence of coexisting tibial and talar OCLs, assess the morphologic characteristics of these lesions, and evaluate whether these characteristics are predictive of outcome. Study Design: Case series; Level of evidence, 4. Methods: A total of 83 patients who underwent surgery for a talar OCL were evaluated for coexisting OCLs of the distal tibia with preoperative magnetic resonance images. Size, location, containment, International Cartilage Repair Society (ICRS) grade, patient age, and patient sex were analyzed for predictors of coexisting lesions or patient outcome. The talar and tibial surfaces were each divided into 9 zones, with 1 corresponding to the most anteromedial region and proceeding laterally and then posteriorly. The Foot and Ankle Outcome Score (FAOS) was evaluated pre- and postoperatively. Results: Twenty-six patients (31%) had coexisting tibial and talar OCLs, with 9 (35%) identified as kissing lesions. Age correlated with coexisting lesion incidence, as older patients were more likely to have a coexisting tibial OCL (P = .038). More than half of talar OCLs were found in zone 4 (61%), whereas the majority of tibial OCLs were located in zones 2, 4, and 5 (19% each). Patients with coexisting lesions were more likely to have a lateral talar OCL (P = .028), while those without a coexisting tibial lesion were more likely to have a talar OCL in zone 4 (P = .016). There was no difference in FAOS result or lesion size between patients with and without coexisting OCLs, but patients with coexisting lesions were more likely to have an ICRS grade 4 talar OCL (P = .034). For patients with coexisting lesions, kissing lesions were more likely to be located in zone 6 (P = .043). There was no difference in OCL size or containment between kissing and nonkissing coexisting OCLs. Conclusion: The incidence of coexisting talar and tibial OCLs may be more prevalent than what previous reports have suggested, with older patients being more likely to present with this pathology. The location of a talar OCL correlates with the incidence of a coexisting tibial OCL. |
Author | Deyer, Timothy W. Irwin, Rebecca M. Megill, Robin Shimozono, Yoshiharu Kennedy, John G. Yasui, Youichi |
AuthorAffiliation | Nancy E. and Peter C. Meinig School of Biomedical Engineering, Cornell University, Ithaca, New York, USA East River Medical Imaging, New York, New York, USA Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan Department of Orthopaedic Surgery, School of Medicine, Teikyo University, Tokyo, Japan Investigation performed at the Hospital for Special Surgery, New York, New York, USA Hospital for Special Surgery, New York, New York, USA |
AuthorAffiliation_xml | – name: Investigation performed at the Hospital for Special Surgery, New York, New York, USA – name: Nancy E. and Peter C. Meinig School of Biomedical Engineering, Cornell University, Ithaca, New York, USA – name: Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan – name: Hospital for Special Surgery, New York, New York, USA – name: East River Medical Imaging, New York, New York, USA – name: Department of Orthopaedic Surgery, School of Medicine, Teikyo University, Tokyo, Japan |
Author_xml | – sequence: 1 givenname: Rebecca M. surname: Irwin fullname: Irwin, Rebecca M. – sequence: 2 givenname: Yoshiharu surname: Shimozono fullname: Shimozono, Yoshiharu – sequence: 3 givenname: Youichi surname: Yasui fullname: Yasui, Youichi – sequence: 4 givenname: Robin surname: Megill fullname: Megill, Robin – sequence: 5 givenname: Timothy W. surname: Deyer fullname: Deyer, Timothy W. – sequence: 6 givenname: John G. surname: Kennedy fullname: Kennedy, John G. email: KennedyJ@hss.edu |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30151402$$D View this record in MEDLINE/PubMed |
BookMark | eNp1kU1vEzEQhi1UREvpnROyxIXLgj92_XFBqiIKlSKVQxBHa9Y7m7ja2MXeVPDv65BSSiV8sWfmeV_PaF6So5giEvKas_eca_1BSNFZpTk32jKrumfkZJ9q9rmjR-9jclbKNavHdNxK_YIcS8Y73jJxQuJl9GHA6JGmkS4S_gxlDnFNVzBBphAHugp9gIlelRmT36Q45BotsYQUS1XkjBPMWOj3MG_oV5gDxpmer_G3-MDRZfK1kOIr8nyEqeDZ_X1Kvl18Wi2-NMurz5eL82XjWyXmxmquegBgo-96C9L0IGFUoFvJBztKbbVk_YgG-95Lz6SVLTOqElVWR5On5OPB92bXb3HwtaXatbvJYQv5l0sQ3L-VGDZunW6d4sww0VaDd_cGOf3YYZndNhSP0wQR0644wWzXCauMqOjbJ-h12uVYx3NCcqmNNEJVih0on1MpGceHZjhz-326p_uskjePh3gQ_NleBZoDUGCNf3_9r-EdIwuqXQ |
CitedBy_id | crossref_primary_10_54097_hset_v54i_9737 crossref_primary_10_1016_j_arthro_2023_09_016 crossref_primary_10_1177_2325967120937798 crossref_primary_10_1002_ksa_12301 crossref_primary_10_1016_j_arthro_2023_07_038 crossref_primary_10_1007_s00113_021_00964_1 crossref_primary_10_1177_23259671211029208 crossref_primary_10_1177_1947603520985182 crossref_primary_10_1177_23259671231172977 crossref_primary_10_1111_jcmm_15993 crossref_primary_10_1177_2325967121997120 crossref_primary_10_1177_19476035231200339 crossref_primary_10_1016_j_jajs_2021_04_002 crossref_primary_10_1177_10711007231174198 crossref_primary_10_1007_s00402_021_04167_6 crossref_primary_10_1055_a_1186_1575 |
Cites_doi | 10.1177/1947603516644298 10.1002/jor.1100150403 10.3113/FAI.2011.1045 10.1177/036354659302100120 10.1177/107110078500500403 10.1016/j.arthro.2006.05.016 10.1016/j.rco.2008.09.003 10.1016/j.arthro.2007.07.022 10.1007/s00167-012-2050-2 10.1177/0363546511423739 10.1177/0363546509336336 10.2106/JBJS.L.00773 10.1016/0749-8063(91)90087-E 10.3113/FAI.2012.0662 10.7326/0003-4819-133-5-200009050-00007 10.2214/ajr.175.5.1751305 10.5312/wjo.v3.i7.101 10.5435/00124635-200505000-00002 10.1177/0363546509335765 10.3113/FAI.2007.0865 10.1007/BF02584467 10.3113/FAI.2009.0524 10.1302/0301-620X.78B4.0780562 10.3113/FAI.2007.0154 10.2106/00004623-198567010-00010 10.1177/1071100715581477 10.1097/00005131-199209000-00014 10.2214/AJR.15.14861 10.1177/1071100714563308 10.2106/JBJS.L.00675 10.2106/JBJS.M.01370 10.2106/00004623-197961030-00006 10.3113/FAI.2012.0591 10.1177/1947603511400726 10.1016/j.acra.2016.01.015 |
ContentType | Journal Article |
Copyright | The Author(s) 2018 The Author(s) 2018. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s) 2018 2018 SAGE Publications |
Copyright_xml | – notice: The Author(s) 2018 – notice: The Author(s) 2018. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: The Author(s) 2018 2018 SAGE Publications |
DBID | AFRWT NPM AAYXX CITATION 3V. 7RV 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9. KB0 M0S NAPCQ PIMPY PQEST PQQKQ PQUKI PRINS 7X8 5PM |
DOI | 10.1177/2325967118790965 |
DatabaseName | SAGE Journals Open Access PubMed CrossRef ProQuest Central (Corporate) Proquest Nursing & Allied Health Source ProQuest_Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni Edition) Nursing & Allied Health Premium Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central Nursing & Allied Health Premium ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic Publicly Available Content Database PubMed CrossRef |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: AFRWT name: SAGE Journals Open Access url: http://journals.sagepub.com/ sourceTypes: Publisher – sequence: 3 dbid: 7X7 name: ProQuest_Health & Medical Collection url: https://search.proquest.com/healthcomplete sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2325-9671 |
EndPage | 2325967118790965 |
ExternalDocumentID | 10_1177_2325967118790965 30151402 10.1177_2325967118790965 |
Genre | Journal Article |
GroupedDBID | 01A 0R~ 53G 54M 5VS 7RV 7X7 8FI 8FJ AAJPV AAKDD AATBZ ABAWP ABQXT ABUWG ABVFX ACARO ACGFS ACGZU ACROE ACSIQ ACUIR ADBBV ADOGD ADRAZ AEFTW AERKM AEUHG AEUIJ AEWDL AEWHI AFCOW AFKRA AFKRG AFRWT AIOMO AJUZI ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS AUTPY AYAKG BCNDV BDDNI BENPR BPHCQ BSEHC BVXVI CCPQU DC. DIK DV7 EBS EF0 EIHBH EJD FYUFA GROUPED_DOAJ GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION HMCUK HYE J8X JCYGO K.F KQ8 M48 M~E NAPCQ O9- OK1 PIMPY PQQKQ ROL RPM SFC UKHRP H13 NPM AAYXX CITATION 3V. 7XB 8FK AZQEC DWQXO K9. PQEST PQUKI PRINS 7X8 5PM |
ID | FETCH-LOGICAL-c462t-9716baaa0fc5b9a38ba3af6a7431d9f379730bfe8ebbc3c03934086f6a6ba1513 |
IEDL.DBID | RPM |
ISSN | 2325-9671 |
IngestDate | Tue Sep 17 21:18:29 EDT 2024 Tue Aug 27 04:30:35 EDT 2024 Fri Sep 13 02:34:43 EDT 2024 Fri Aug 23 00:53:07 EDT 2024 Sat Sep 28 08:48:31 EDT 2024 Tue Jul 16 20:51:51 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 8 |
Keywords | osteochondral kissing lesion coexisting incidence ankle cartilage |
Language | English |
License | This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c462t-9716baaa0fc5b9a38ba3af6a7431d9f379730bfe8ebbc3c03934086f6a6ba1513 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108024/ |
PMID | 30151402 |
PQID | 2313783826 |
PQPubID | 4451077 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_6108024 proquest_miscellaneous_2095529682 proquest_journals_2313783826 crossref_primary_10_1177_2325967118790965 pubmed_primary_30151402 sage_journals_10_1177_2325967118790965 |
PublicationCentury | 2000 |
PublicationDate | 2018-08-01 |
PublicationDateYYYYMMDD | 2018-08-01 |
PublicationDate_xml | – month: 08 year: 2018 text: 2018-08-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | Los Angeles, CA |
PublicationPlace_xml | – name: Los Angeles, CA – name: United States – name: Thousand Oaks – name: Sage CA: Los Angeles, CA |
PublicationTitle | Orthopaedic journal of sports medicine |
PublicationTitleAlternate | Orthop J Sports Med |
PublicationYear | 2018 |
Publisher | SAGE Publications Sage Publications Ltd |
Publisher_xml | – name: SAGE Publications – name: Sage Publications Ltd |
References | Van Dijk, Reilingh, Zengerink, van Bergen 2010; 59 Flick, Gould 1985; 5 Athanasiou, Niederauer, Schenck 1995; 23 Chuckpaiwong, Berkson, Theodore 2008; 24 Ross, Hannon, Deyer 2014; 96 Schachter, Chen, Reddy, Tejwani 2005; 13 O’Loughlin, Heyworth, Kennedy 2010; 38 Choi, Park, Kim, Lee 2009; 37 Lee, Kwon, Choi, Lee 2015; 36 Elias, Zoga, Morrison, Besser, Schweitzer, Raikin 2007; 28 Kennedy, Murawski 2011; 2 Gelber, Hochberg, Mead, Wang, Wigley, Klag 2000; 133 Yasui, Wollstein, Murawski, Kennedy 2017; 8 McCullough, Venugopal 1979; 144 Mologne, Ferkel 2007; 28 Buckwalter, Mankin 1998; 47 Hembree, Wittstein, Vinson 2012; 33 Van Bergen, De leeuw, Van dijk 2008; 94 Gobbi, Francisco, Lubowitz, Allegra, Canata 2006; 22 Cuttica, Smith, Hyer, Philbin, Berlet 2012; 33 Dipaola, Nelson, Colville 1991; 7 Murawski, Kennedy 2013; 95 Mont, Sedlin, Weiner, Miller 1992; 6 Gianakos, Hannon, Ross 2015; 36 Harrington 1979; 61 Phillips, Schwartz, Keller 1985; 67 Choi, Kim, Lee 2012; 40 Cuttica, Smith, Hyer, Philbin, Berlet 2011; 32 Lamb, Murawski, Deyer, Kennedy 2013; 21 You, Lee, Lee, Lee, Kang 2016; 206 Ellermann, Donald, Rohr 2016; 23 Taga, Shino, Inoue, Nakata, Maeda 1993; 21 Van Dijk, Bossuyt, Marti 1996; 78 Martin, Ellerbroek, Buckwalter 1997; 15 Bui-mansfield, Kline, Chew, Rogers, Lenchik 2000; 175 Van Bergen, Kox, Maas, Sierevelt, Kerkhoffs, Van dijk 2013; 95 Smyth, Murawski, Haleem, Hannon, Savage-Elliott, Kennedy 2012; 3 Elias, Raikin, Schweitzer, Besser, Morrison, Zoga 2009; 30 bibr34-2325967118790965 bibr9-2325967118790965 bibr21-2325967118790965 bibr26-2325967118790965 bibr4-2325967118790965 bibr12-2325967118790965 bibr20-2325967118790965 bibr33-2325967118790965 bibr18-2325967118790965 bibr27-2325967118790965 bibr14-2325967118790965 bibr11-2325967118790965 bibr5-2325967118790965 bibr24-2325967118790965 bibr1-2325967118790965 bibr19-2325967118790965 bibr32-2325967118790965 bibr15-2325967118790965 bibr28-2325967118790965 bibr6-2325967118790965 bibr10-2325967118790965 Van Dijk CN (bibr36-2325967118790965) 2010; 59 bibr7-2325967118790965 bibr37-2325967118790965 bibr29-2325967118790965 bibr16-2325967118790965 Buckwalter JA (bibr2-2325967118790965) 1998; 47 bibr31-2325967118790965 bibr22-2325967118790965 bibr35-2325967118790965 bibr38-2325967118790965 bibr3-2325967118790965 bibr25-2325967118790965 McCullough CJ (bibr23-2325967118790965) 1979; 144 bibr13-2325967118790965 bibr8-2325967118790965 bibr30-2325967118790965 bibr17-2325967118790965 |
References_xml | – volume: 22 start-page: 1085 issue: 10 year: 2006 end-page: 1092 article-title: Osteochondral lesions of the talus: randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation publication-title: Arthroscopy contributor: fullname: Canata – volume: 13 start-page: 152 issue: 3 year: 2005 end-page: 158 article-title: Osteochondral lesions of the talus publication-title: J Am Acad Orthop Surg contributor: fullname: Tejwani – volume: 8 start-page: 42 issue: 1 year: 2017 end-page: 49 article-title: Operative treatment for osteochondral lesions of the talus: biologics and scaffold-based therapy publication-title: Cartilage contributor: fullname: Kennedy – volume: 21 start-page: 120 issue: 1 year: 1993 end-page: 127 article-title: Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study publication-title: Am J Sports Med contributor: fullname: Maeda – volume: 144 start-page: 264 year: 1979 end-page: 268 article-title: Osteochondritis dissecans of the talus: the natural history publication-title: Clin Orthop Relat Res contributor: fullname: Venugopal – volume: 61 start-page: 354 issue: 3 year: 1979 end-page: 361 article-title: Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability publication-title: J Bone Joint Surg Am contributor: fullname: Harrington – volume: 78 start-page: 562 issue: 4 year: 1996 end-page: 567 article-title: Medial ankle pain after lateral ligament rupture publication-title: J Bone Joint Surg Br contributor: fullname: Marti – volume: 47 start-page: 487 year: 1998 end-page: 504 article-title: Articular cartilage: degeneration and osteoarthritis, repair, regeneration, and transplantation publication-title: Instr Course Lect contributor: fullname: Mankin – volume: 24 start-page: 106 issue: 1 year: 2008 end-page: 112 article-title: Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases publication-title: Arthroscopy contributor: fullname: Theodore – volume: 96 start-page: 1708 issue: 20 year: 2014 end-page: 1715 article-title: Functional and MRI outcomes after arthroscopic microfracture for treatment of osteochondral lesions of the distal tibial plafond publication-title: J Bone Joint Surg Am contributor: fullname: Deyer – volume: 206 start-page: 366 issue: 2 year: 2016 end-page: 372 article-title: An osteochondral lesion of the distal tibia and fibula in patients with an osteochondral lesion of the talus on MRI: prevalence, location, and concomitant ligament and tendon injuries publication-title: AJR Am J Roentgenol contributor: fullname: Kang – volume: 67 start-page: 67 year: 1985 end-page: 78 article-title: A prospective, randomized study of the management of severe ankle fractures publication-title: J Bone Joint Surg Am contributor: fullname: Keller – volume: 95 start-page: 519 issue: 6 year: 2013 end-page: 525 article-title: Arthroscopic treatment of osteochondral defects of the talus: outcomes at eight to twenty years of follow-up publication-title: J Bone Joint Surg Am contributor: fullname: Van dijk – volume: 2 start-page: 327 issue: 4 year: 2011 end-page: 336 article-title: The treatment of osteochondral lesions of the talus with autologous osteochondral transplantation and bone marrow aspirate concentrate: surgical technique publication-title: Cartilage contributor: fullname: Murawski – volume: 36 start-page: 1050 issue: 9 year: 2015 end-page: 1057 article-title: Comparison of outcomes for osteochondral lesions of the talus with and without chronic lateral ankle instability publication-title: Foot Ankle Int contributor: fullname: Lee – volume: 38 start-page: 392 issue: 2 year: 2010 end-page: 404 article-title: Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle publication-title: Am J Sports Med contributor: fullname: Kennedy – volume: 94 start-page: 398 issue: suppl 8 year: 2008 end-page: 408 article-title: Treatment of osteochondral defects of the talus publication-title: Rev Chir Orthop Reparatrice Appar Mot contributor: fullname: Van dijk – volume: 23 start-page: 697 issue: 5 year: 1995 end-page: 704 article-title: Biomechanical topography of human ankle cartilage publication-title: Ann Biomed Eng contributor: fullname: Schenck – volume: 33 start-page: 662 issue: 8 year: 2012 end-page: 668 article-title: Arthroscopic treatment of osteochondral lesions of the tibial plafond publication-title: Foot Ankle Int contributor: fullname: Berlet – volume: 30 start-page: 524 issue: 6 year: 2009 end-page: 529 article-title: Osteochondral lesions of the distal tibial plafond: localization and morphologic characteristics with an anatomical grid publication-title: Foot Ankle Int contributor: fullname: Zoga – volume: 133 start-page: 321 year: 2000 end-page: 328 article-title: Joint injury in young adults and risk for subsequent knee and hip osteoarthritis publication-title: Ann Intern Med contributor: fullname: Klag – volume: 59 start-page: 375 year: 2010 end-page: 386 article-title: The natural history of osteochondral lesions in the ankle publication-title: Instr Course Lect contributor: fullname: van Bergen – volume: 23 start-page: 724 issue: 6 year: 2016 end-page: 729 article-title: Magnetic resonance imaging of osteochondritis dissecans: validation study for the ICRS classification system publication-title: Acad Radiol contributor: fullname: Rohr – volume: 28 start-page: 865 issue: 8 year: 2007 end-page: 872 article-title: Arthroscopic treatment of osteochondral lesions of the distal tibia publication-title: Foot Ankle Int contributor: fullname: Ferkel – volume: 32 start-page: 1045 issue: 11 year: 2011 end-page: 1051 article-title: Osteochondral lesions of the talus: predictors of clinical outcome publication-title: Foot Ankle Int contributor: fullname: Berlet – volume: 95 start-page: 1045 issue: 11 year: 2013 end-page: 1054 article-title: Operative treatment of osteochondral lesions of the talus publication-title: J Bone Joint Surg Am contributor: fullname: Kennedy – volume: 33 start-page: 591 issue: 7 year: 2012 end-page: 597 article-title: Magnetic resonance imaging features of osteochondral lesions of the talus publication-title: Foot Ankle Int contributor: fullname: Vinson – volume: 37 start-page: 1974 issue: 10 year: 2009 end-page: 1980 article-title: Osteochondral lesion of the talus: is there a critical defect size for poor outcome? publication-title: Am J Sports Med contributor: fullname: Lee – volume: 6 start-page: 352 year: 1992 end-page: 357 article-title: Postoperative radiographs as predictors of clinical outcome in unstable ankle fractures publication-title: J Orthop Trauma contributor: fullname: Miller – volume: 36 start-page: 531 issue: 5 year: 2015 end-page: 538 article-title: Anterolateral tibial osteotomy for accessing osteochondral lesions of the talus in autologous osteochondral transplantation: functional and T2 MRI analysis publication-title: Foot Ankle Int contributor: fullname: Ross – volume: 175 start-page: 1305 issue: 5 year: 2000 end-page: 1308 article-title: Osteochondritis dissecans of the tibial plafond: imaging characteristics and a review of the literature publication-title: AJR Am J Roentgenol contributor: fullname: Lenchik – volume: 28 start-page: 154 issue: 2 year: 2007 end-page: 161 article-title: Osteochondral lesions of the talus: localization and morphologic data from 424 patients using a novel anatomical grid scheme publication-title: Foot Ankle Int contributor: fullname: Raikin – volume: 7 start-page: 101 issue: 1 year: 1991 end-page: 104 article-title: Characterizing osteochondral lesions by magnetic resonance imaging publication-title: Arthroscopy contributor: fullname: Colville – volume: 3 start-page: 101 issue: 7 year: 2012 article-title: Establishing proof of concept: platelet-rich plasma and bone marrow aspirate concentrate may improve cartilage repair following surgical treatment for osteochondral lesions of the talus publication-title: World J Orthop contributor: fullname: Kennedy – volume: 40 start-page: 419 issue: 2 year: 2012 end-page: 424 article-title: Osteochondral lesion of the talus: could age be an indication for arthroscopic treatment? publication-title: Am J Sports Med contributor: fullname: Lee – volume: 21 start-page: 1283 issue: 6 year: 2013 end-page: 1288 article-title: Chevron-type medial malleolar osteotomy: a functional, radiographic and quantitative T2-mapping MRI analysis publication-title: Knee Surg Sports Traumatol Arthrosc contributor: fullname: Kennedy – volume: 15 start-page: 491 issue: 4 year: 1997 end-page: 498 article-title: Age-related decline in chondrocyte response to insulin-like growth factor-I: the role of growth factor binding proteins publication-title: J Orthop Res contributor: fullname: Buckwalter – volume: 5 start-page: 165 issue: 4 year: 1985 end-page: 185 article-title: Osteochondritis dissecans of the talus (transchondral fractures of the talus): review of the literature and new surgical approach for medial dome lesions publication-title: Foot Ankle contributor: fullname: Gould – ident: bibr37-2325967118790965 doi: 10.1177/1947603516644298 – ident: bibr22-2325967118790965 doi: 10.1002/jor.1100150403 – ident: bibr8-2325967118790965 doi: 10.3113/FAI.2011.1045 – ident: bibr32-2325967118790965 doi: 10.1177/036354659302100120 – ident: bibr13-2325967118790965 doi: 10.1177/107110078500500403 – ident: bibr16-2325967118790965 doi: 10.1016/j.arthro.2006.05.016 – ident: bibr33-2325967118790965 doi: 10.1016/j.rco.2008.09.003 – ident: bibr6-2325967118790965 doi: 10.1016/j.arthro.2007.07.022 – ident: bibr20-2325967118790965 doi: 10.1007/s00167-012-2050-2 – ident: bibr4-2325967118790965 doi: 10.1177/0363546511423739 – ident: bibr27-2325967118790965 doi: 10.1177/0363546509336336 – ident: bibr26-2325967118790965 doi: 10.2106/JBJS.L.00773 – ident: bibr9-2325967118790965 doi: 10.1016/0749-8063(91)90087-E – ident: bibr7-2325967118790965 doi: 10.3113/FAI.2012.0662 – ident: bibr14-2325967118790965 doi: 10.7326/0003-4819-133-5-200009050-00007 – ident: bibr3-2325967118790965 doi: 10.2214/ajr.175.5.1751305 – ident: bibr31-2325967118790965 doi: 10.5312/wjo.v3.i7.101 – ident: bibr30-2325967118790965 doi: 10.5435/00124635-200505000-00002 – volume: 47 start-page: 487 year: 1998 ident: bibr2-2325967118790965 publication-title: Instr Course Lect contributor: fullname: Buckwalter JA – ident: bibr5-2325967118790965 doi: 10.1177/0363546509335765 – ident: bibr24-2325967118790965 doi: 10.3113/FAI.2007.0865 – ident: bibr1-2325967118790965 doi: 10.1007/BF02584467 – ident: bibr10-2325967118790965 doi: 10.3113/FAI.2009.0524 – ident: bibr35-2325967118790965 doi: 10.1302/0301-620X.78B4.0780562 – ident: bibr11-2325967118790965 doi: 10.3113/FAI.2007.0154 – ident: bibr28-2325967118790965 doi: 10.2106/00004623-198567010-00010 – volume: 144 start-page: 264 year: 1979 ident: bibr23-2325967118790965 publication-title: Clin Orthop Relat Res contributor: fullname: McCullough CJ – ident: bibr21-2325967118790965 doi: 10.1177/1071100715581477 – ident: bibr25-2325967118790965 doi: 10.1097/00005131-199209000-00014 – volume: 59 start-page: 375 year: 2010 ident: bibr36-2325967118790965 publication-title: Instr Course Lect contributor: fullname: Van Dijk CN – ident: bibr38-2325967118790965 doi: 10.2214/AJR.15.14861 – ident: bibr15-2325967118790965 doi: 10.1177/1071100714563308 – ident: bibr34-2325967118790965 doi: 10.2106/JBJS.L.00675 – ident: bibr29-2325967118790965 doi: 10.2106/JBJS.M.01370 – ident: bibr17-2325967118790965 doi: 10.2106/00004623-197961030-00006 – ident: bibr18-2325967118790965 doi: 10.3113/FAI.2012.0591 – ident: bibr19-2325967118790965 doi: 10.1177/1947603511400726 – ident: bibr12-2325967118790965 doi: 10.1016/j.acra.2016.01.015 |
SSID | ssj0000851937 |
Score | 2.2098289 |
Snippet | Background:
The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes,... The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet these... Background: The incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes,... BACKGROUNDThe incidence of coexisting osteochondral lesions (OCLs) of the tibia and talus has been negatively correlated with successful clinical outcomes, yet... |
SourceID | pubmedcentral proquest crossref pubmed sage |
SourceType | Open Access Repository Aggregation Database Index Database Publisher |
StartPage | 2325967118790965 |
SubjectTerms | Knee Orthopedics Patients Sports medicine |
SummonAdditionalLinks | – databaseName: ProQuest_Health & Medical Collection dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3NS8MwFH9MBfEiflu_iCCCh7I2ydr0JCLKEKceJu42kjRVL-3c6v_ve223OUXPSZrQl5f88j5-D-BMBjbk1nR8rbjwZZyiSnGufakiITLbEakjO2TvIeo-y7tBZ9CC7jQXhsIqp2didVCnhSUbeRtxiIiVQDTc1oasALZsX44-fKofRX7WppjGEqyEHGEF7ux4EM-sLQQs8CKe-ynxewj8o7iqtk0MKIv30i-w-Ttm8lvgV3UX3W7AegMi2VUt9U1ouXwLVnuNm3wbctT6ulgoKzJ2XRDdJYU3s77GhyzTecr6VaoIe0QhF3gC5inOxu4d2c4mOGJc5bi4CXt5L9_YU02-yq5eXTW47sfui9retwPPtzf9667fFFbwrYx46RNtlNFaBygMk2ihjBY6izShiTTJRJyg3pvMKWeMFZbSdyU-fbAHDkOIIHZhOS9ytw8sMFoh5BWhtFIm5GbkHUeMNKF1kQmUBxfT3zoc1fwZw7ChGP8pAg-Opv992GjSZDiXuwens2bUAXJs6NwVn9iHePR4EinuwV4tptlkeIAhJgywJV4Q4KwD8WsvtuTvbxXPdkTxl1x6cE6ini_pr_Uf_L_-Q1hDtKXq6MEjWC7Hn-4YEU1pTqrN-gVhCfJ4 priority: 102 providerName: ProQuest – databaseName: SAGE Journals Online dbid: EF0 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1LT9wwEB5RKlW9VC19EAqVK1VIPaQktpM4pwqhrhCClsOiclvZjgMccBCbPfTfM2MnS5dVpV7jsWx57MnneXwG-CIzm3NrilQrLlJZNXikONepVKUQrS1E48gPefazPL6QJ5fF5Qb4sRZmWMH5N0qrwhkFY02nm7zRB0OQ8QBhQFGXVXgqm-hLvi_621n0do-PatAXCk8vbimybSkf8k86Vrc9g-ecMtcIPk2ypU-G4EcdaDZpgJRGeIxsrg26-idbg6frWZZ_pYqFv9fkNbwaYCc7jPvkDWw4vwUvzobA-lvwaCfi86Ksa9lRRwSZlBDNphqvvkz7hk1DcQn7hduiQ5vpGxyNnTryts2xx32oinFz9vumv2bnka6VHV650DnKsdMuegjfwcXkx_ToOB2eYkitLHmfEtGU0VpnqD5Ta6GMFrotNeGPpm5FVaOlMK1TzhgrLBX8SrwsoQR2Q1Ah3sOm77zbBpYZrRAki1xaKWsKTPLCEYdNbl1pMpXA13FZZ3eRcWOWD6TkT1WQwO647rNx56BQLiol8N6UwOdlM54aCoVo77oFyhDzHq9LxRP4ENW0HAxNHqLIDFuqFQUuBYiRe7XF31wHZu6SMja5TGCfVP04pX_Nf-d_BT_CS0RqKmYe7sJmf79we4iGevMpbOEH948CcQ priority: 102 providerName: SAGE Publications – databaseName: Scholars Portal Journals: Open Access dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwdV1LS8QwEB58gHgR39YXEUTwUN0maZseREQUEVc97KK3JWlTH0iruyvov3em6e6qq-dMmjIzSb5kJt8A7MpGGvDUhL5WXPgyznBKca59qSIh8jQUmaV7yOZ1dNGWl_fh_eh5dK3A3p9HO6on1e6-HHy8fR7jhD-qQ46HCArCJIqrwtlEZjIJ01wKSf7erMH-s8vIQrQSV9XmeOhTj1HccuwjszCDvo9wor5wGW5ZYzh0PJ3yW05YtU2dz8NcjS_ZiXOIBZiwxSLMNOsI-hIUuCC4OqKszNlpSUyYlPnMWhoVwXSRsVb1ioTdoP1L1E-R4WjsytK1Wg97dKvnL7bH7p76j-zW8bKykwdbdXZy7Kp0V4HL0D4_a51e-HXNBT-VEe_7xChltNYNtJNJtFBGC51HmoBGluQiTnBJMLlV1phUpPSyV-KpCCWwG6pLrMBUURZ2DVjDaIVoWAQylTKhCCQPLZHVBKmNTEN5sD9Qa-fVUWt0gpp9_Lc1PNgc6L0z8BEUCkSsBB6QPNgZNuP0oJiHLmz5jjJEsceTSHEPVp2ZhoMN7OtB_MOAQwGi3v7ZUjw9VhTcEaVmcunBHpl69Ev__f_6v4NvwCxiMOVyCjdhqt99t1uIc_pmu3LfL75l8wg priority: 102 providerName: Scholars Portal |
Title | Incidence of Coexisting Talar and Tibial Osteochondral Lesions Correlates With Patient Age and Lesion Location |
URI | https://journals.sagepub.com/doi/full/10.1177/2325967118790965 https://www.ncbi.nlm.nih.gov/pubmed/30151402 https://www.proquest.com/docview/2313783826/abstract/ https://search.proquest.com/docview/2095529682 https://pubmed.ncbi.nlm.nih.gov/PMC6108024 |
Volume | 6 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Pa9swFH70B5Rexn7PWxdUGIMd3NiSbMvHLCSU0XShpDS3IMlym7HKpUn__z1Jdtqu9NKLffATEnpP1qenT58AvvFEp1SrLJaCspgXFQ4pSmXMRc5YrTNWGZeHnJzmx-f81zybb0HWnYXxpH2tlkf27_WRXV55buXNte53PLH-dDLMHTGO8v42bBeMPVii_wnEKwQlxf2WZB9BQ1bmhb9Y24md7MMehjUihTaXspmNnkDMp0zJB3QvPwONX8OrFjqSQWjiG9gy9i3sTdrN8XdgcayHK0JJU5Nh40QuHamZzCQuX4m0FZn5AyLkN7q2wf-erbA2cmJcxmyFJW79yRazIhfL9RWZBslVMrg0vnCwIydNyPK9h_PxaDY8jtvrFGLNc7qOnViUklIm6AJVSiaUZLLOpcMQVVmzosTRrmojjFKaaXdol-OCBy2wGHYX-wA7trHmE5BESYFAl6Vcc166zUWaGadDk2qTq0RE8KPr1sVNUM1YpK2w-P_eiOCg6_dFO35WaJSyQjBc-0RwuPmMke-2M6Q1zR3aOPU8WuaCRvAxuGlTWeffCIpHDtwYOFXtx18w2Ly6dhtcEXx3rr5v0nPt__ziKr7APsIvEeiEB7Czvr0zXxHirFUPA3te9GB3MD67mOH75-h0etbzCQN8jsYJPidc9Hzo_wOErv5i |
link.rule.ids | 230,315,733,786,790,870,891,2236,12083,21416,21993,21994,24346,27886,27957,27958,31754,31755,33779,33780,43345,43840,44980,45089,45368,45477,53827,53829 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LT8MwDLZ4SMAF8aY8g4SQOFR0SdamJ4QQaMAGHIbYrUrSlHFpgY3_j912GwPBOU4T1XHyxXY-AxzLwDa4NU1fKy58GaVoUpxrX6pQiMw2RerID9m5D1tP8rbX7NUOt0GdVjnaE8uNOi0s-cjPEIeISAlEw-dv7z5VjaLoal1CYxbmpRCSUvqiXjT2sRCcwON3Ep3EryDcD6OyxjbxnkyfRr8g5u9MyW_pXuUJdL0CyzV0ZBeVrldhxuVrsNCpg-PrkKOtVyVCWZGxy4JILimpmXU1Xl-ZzlPWLR-IsAdUbYH7Xp7iaKztyGM2wB4f5csWN2DPr8M-e6woV9nFiys7V3KsXVRevg14ur7qXrb8upyCb2XIhz6RRRmtdYAqMLEWymihs1AThkjjTEQxWrvJnHLGWGHp0a7ECw9KYDcEBmIT5vIid9vAAqMVAl3RkFbKmIKLvOmIh6ZhXWgC5cHp6LcmbxVrRtKoicV_qsCDvdF_T2r7GSQTbXtwNG7GlU_hDJ274hNliD2Px6HiHmxVahoPhtsWIsEAW6IpBY4FiFV7uiV_7Zfs2iFlXXLpwQmpejKlv-a_8__8D2Gx1e20k_bN_d0uLCHeUlX-4B7MDT8-3T5imqE5KBfuFyQC8as |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1LT8MwDLZgSIgL4k15BgkhcSi0SdqmRwRMPMbjMAS3KWlT4NIitv1_7LQbjAmJc-wmiuP0S2x_ATiUQRbyzES-Vlz4MsnRpTjXvlSxEEUWidzSPeTdfXz1JG9eopcmN4dqYZoZ7J9QWhWOyG3W5N0feXHaxBhPEQVEaZy4l7KJvWQW5iQCDYcb28H4ioXQROpYM0nBJ43vQOXURyZ_TFNoczpp8kfml_sZtZdgsUGR7Kw2-zLM2HIF5u-aOPkqlOj29WuhrCrYeUV8l5TfzLoaT7JMlznruloR9oBWrnALLHPsjXUsXZ71UePTFbnYPnt-H7yxx5p9lZ29Wqdcy7FOVV_4rcFT-7J7fuU3Lyv4mYz5wCfeKKO1DtAaJtVCGS10EWuCE3laiCRFxzeFVdaYTGRUvyvx7IMSqIYYQaxDq6xKuwksMFoh5hWhzKRMKc7II0uUNGFmYxMoD45H09r7qAk0emHDMf7bBB7sjOa9N1oIKBSKRAk8BnlwMG5GJ6DIhi5tNUQZItLjaay4Bxu1mcad4Q6GoDDAlmTCgGMBItiebCnf3xzRdkwJmFx6cESm_h7SX-Pf-q_gPsw_XrR7nev7221YQAym6pzCHWgNPod2F3HOwOy51fwFzNXw3g |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Incidence+of+Coexisting+Talar+and+Tibial+Osteochondral+Lesions+Correlates+With+Patient+Age+and+Lesion+Location&rft.jtitle=Orthopaedic+journal+of+sports+medicine&rft.au=Irwin%2C+Rebecca+M&rft.au=Shimozono%2C+Yoshiharu&rft.au=Yasui%2C+Youichi&rft.au=Megill%2C+Robin&rft.date=2018-08-01&rft.issn=2325-9671&rft.eissn=2325-9671&rft.volume=6&rft.issue=8&rft.spage=2325967118790965&rft_id=info:doi/10.1177%2F2325967118790965&rft_id=info%3Apmid%2F30151402&rft.externalDocID=30151402 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2325-9671&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2325-9671&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2325-9671&client=summon |