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The Journal of Bone and Joint Surgery, Vol 70, Issue 7 1017-1019, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Osteochondritis dissecans of the dome of the talus. Computed tomography scanning in diagnosis and follow-up

C Zinman, N Wolfson and ND Reis
Department of Orthopaedics and Traumatology B, Medical Center, Faculty of Medicine, Haifa, Israel.

From 1977 through 1985, thirty-two patients were treated for osteochondritis dissecans of the dome of the talus. The diagnosis was established in two-thirds of the patients using ordinary roentgenograms, but it was established in all of them using computed tomography scans. After a mean length of follow-up of about five years, the results of surgical treatment were significantly better than those of conservative treatment. For twenty patients, computed tomography scans were superior to roentgenograms in showing healing of the lesion. We concluded that computed tomography is useful not only for diagnosis--that is, in determining the extent and precise location of the lesion--but also for follow-up.
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