talus

Summary

Summary: The second largest of the TARSAL BONES. It articulates with the TIBIA and FIBULA to form the ANKLE JOINT.

Top Publications

  1. Burston J, Isenegger P, Zellweger R. Open total talus dislocation: clinical and functional outcomes: a case series. J Trauma. 2010;68:1453-8 pubmed publisher
    ..Open total talar dislocation is a relatively rare but debilitating injury. Techniques for managing such injuries include reimplantation of an extruded talus, open reduction internal fixation, and fusion (immediate or delayed).
  2. Shahabpour M, Deville A, Van Roy P, Vaes P, De Mey J, De Maeseneer M. Magnetic resonance imaging of anatomical variants of the subtalar joint. Surg Radiol Anat. 2011;33:623-30 pubmed publisher
    ..To evaluate MRI with thin slices to depict anatomical variations of the subtalar and talocalcaneonavicular joints...
  3. Meftah M, Katchis S, Scharf S, Mintz D, Klein D, Weiner L. SPECT/CT in the management of osteochondral lesions of the talus. Foot Ankle Int. 2011;32:233-8 pubmed publisher
    The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial...
  4. DeSilva J, Devlin M. A comparative study of the trabecular bony architecture of the talus in humans, non-human primates, and Australopithecus. J Hum Evol. 2012;63:536-51 pubmed publisher
    ..Humans have highly organized trabecular struts across the entirety of the talus, consistent with the compressive loads incurred during bipedal walking...
  5. Hembree W, Wittstein J, Vinson E, Queen R, LaRose C, Singh K, et al. Magnetic resonance imaging features of osteochondral lesions of the talus. Foot Ankle Int. 2012;33:591-7 pubmed publisher
    Osteochondral lesions of the talus (OLT) traditionally have been thought to occur anterolaterally or posteromedially. Recent studies utilizing magnetic resonance imaging (MRI) have questioned this teaching...
  6. Zwingmann J, Sudkamp N, Schmal H, Niemeyer P. Surgical treatment of osteochondritis dissecans of the talus: a systematic review. Arch Orthop Trauma Surg. 2012;132:1241-50 pubmed publisher
    ..an aseptic bone necrosis and represents pathology of high clinical relevance, which is frequently located on the talus. Various treatment strategies including non-surgical and surgical approaches have been described...
  7. Sharada R, Sneha K, Gupta C, Pai S, Rairam G. Non-metrical study of the pattern of talar articular facets in south Indian dry calcanei. Surg Radiol Anat. 2012;34:487-91 pubmed publisher
    ..So this study was done to know the size, shape and number of talar articular facets and the distance between the two anterior facets...
  8. Battaglia M, Vannini F, Buda R, Cavallo M, Ruffilli A, Monti C, et al. Arthroscopic autologous chondrocyte implantation in osteochondral lesions of the talus: mid-term T2-mapping MRI evaluation. Knee Surg Sports Traumatol Arthrosc. 2011;19:1376-84 pubmed publisher
    ..The aim of this study was to evaluate the mid-term results of a series of patients arthroscopically treated by ACI and investigate the nature of the repair tissue by MRI T2 mapping...
  9. Niemeyer P, Salzmann G, Schmal H, Mayr H, Sudkamp N. Autologous chondrocyte implantation for the treatment of chondral and osteochondral defects of the talus: a meta-analysis of available evidence. Knee Surg Sports Traumatol Arthrosc. 2012;20:1696-703 pubmed publisher
    ..To evaluate efficiency and effectiveness of ACI for talar lesions was aim of the present meta-analysis...

More Information

Publications62

  1. Grice J, Cannon L. Percutaneous core decompression: a successful method of treatment of Stage I avascular necrosis of the talus. Foot Ankle Surg. 2011;17:317-8 pubmed publisher
    The talus is a bone uncommonly affected by avascular necrosis (AVN) [1]. Factors such as trauma and pre-existing inflammatory arthropathy (particularly with concomitant steroid use) increase the risk of development of AVN...
  2. Van Bergen C, Zengerink M, Blankevoort L, van Sterkenburg M, van Oldenrijk J, van Dijk C. Novel metallic implantation technique for osteochondral defects of the medial talar dome. A cadaver study. Acta Orthop. 2010;81:495-502 pubmed publisher
    ..The aim of this study was to test the following hypotheses: (1) a matching offset size is available for each talus, (2) the prosthetic device can be reproducibly implanted slightly recessed in relation to the talar cartilage ..
  3. Yu X, Zhao D, Sun Q, Wang T, Yu H, Su Y, et al. [Treatment of non-traumatic avascular talar necrosis by transposition of vascularized cuneiform bone flap plus iliac cancellous bone grafting]. Zhonghua Yi Xue Za Zhi. 2010;90:1035-8 pubmed
    ..To evaluate the outcome of cancellous bone grafting plus iliac cancellous bone in the treatment of non-traumatic avascular talar necrosis...
  4. Imhoff A, Paul J, Ottinger B, Wörtler K, Lämmle L, Spang J, et al. Osteochondral transplantation of the talus: long-term clinical and magnetic resonance imaging evaluation. Am J Sports Med. 2011;39:1487-93 pubmed publisher
    ..The Osteochondral Autograft Transfer System (OATS) is the only 1-step surgical technique designed to replace the entire osteochondral unit...
  5. Anders S, Goetz J, Schubert T, Grifka J, Schaumburger J. Treatment of deep articular talus lesions by matrix associated autologous chondrocyte implantation--results at five years. Int Orthop. 2012;36:2279-85 pubmed publisher
    Treatment of focal full-thickness chondral or osteochondral defects of the talus remains a challenge...
  6. Seo S, Park J, Kim H, Yoon J, Park S, Kim K. Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review. Pain Physician. 2012;15:E743-8 pubmed
    An osteochondral lesion of the talus (OLT) is a lesion involving the talar articular cartilage and its subchondral bone. OLT is a known cause of chronic ankle pain after ankle sprains in the active population...
  7. Yuan C, Wang J, Zhang Y, Li X, Li Y, Wu S, et al. Development of a clinically relevant animal model for the talar osteonecrosis in sheep. Int J Med Sci. 2012;9:816-24 pubmed publisher
    There are a lot of reports and reviews about osteonecrosis of the talus (ONT), yet reports about the animal model of ONT to evaluate proper therapeutic approaches are rarely heard. In our study, a novel animal model was established...
  8. Orr J, Dutton J, Fowler J. Anatomic location and morphology of symptomatic, operatively treated osteochondral lesions of the talus. Foot Ankle Int. 2012;33:1051-7 pubmed
    Historically, osteochondral lesions of the talus (OCLTs) were thought to occur most commonly in the anterolateral and posteromedial talar dome; however, new classification systems are able to describe OCLT location more precisely...
  9. Seo J, Tanabe T, Tsuzuki N, Haneda S, Yamada K, Furuoka H, et al. Effects of bilayer gelatin/?-tricalcium phosphate sponges loaded with mesenchymal stem cells, chondrocytes, bone morphogenetic protein-2, and platelet rich plasma on osteochondral defects of the talus in horses. Res Vet Sci. 2013;95:1210-6 pubmed publisher
    ..morphogenetic protein-2 (BMP-2), and platelet rich plasma (PRP) for the repair of osteochondral defects of the talus in horses...
  10. Choi W, Kim B, Lee J. Osteochondral lesion of the talus: could age be an indication for arthroscopic treatment?. Am J Sports Med. 2012;40:419-24 pubmed publisher
    ..Several studies have addressed the issue of the feasibility of arthroscopic surgery in older patients, usually by choosing an arbitrary age limit...
  11. Fansa A, Murawski C, Imhauser C, Nguyen J, Kennedy J. Autologous osteochondral transplantation of the talus partially restores contact mechanics of the ankle joint. Am J Sports Med. 2011;39:2457-65 pubmed publisher
    ..Autologous osteochondral transplantation procedures provide hyaline cartilage to the site of cartilage repair. It remains unknown whether these procedures restore native contact mechanics of the ankle joint...
  12. Mei Dan O, Carmont M, Laver L, Mann G, Maffulli N, Nyska M. Platelet-rich plasma or hyaluronate in the management of osteochondral lesions of the talus. Am J Sports Med. 2012;40:534-41 pubmed publisher
    ..Nonoperative options for osteochondral lesions (OCLs) of the talar dome are limited, and currently, there is a lack of scientific evidence to guide management...
  13. Van Bergen C, Reilingh M, van Dijk C. Tertiary osteochondral defect of the talus treated by a novel contoured metal implant. Knee Surg Sports Traumatol Arthrosc. 2011;19:999-1003 pubmed publisher
    The primary treatment of most osteochondral defects of the talus is arthroscopic debridement and bone marrow stimulation. There is no optimal treatment for large lesions or for those in which primary treatment has failed...
  14. Parr W, Ruto A, Soligo C, Chatterjee H. Allometric shape vector projection: a new method for the identification of allometric shape characters and trajectories applied to the human astragalus (talus). J Theor Biol. 2011;272:64-71 pubmed publisher
    The surface morphology of the human astragalus (talus) is difficult to represent accurately using landmarks as it is essentially globular in shape...
  15. Giannini S, Buda R, Cavallo M, Ruffilli A, Cenacchi A, Cavallo C, et al. Cartilage repair evolution in post-traumatic osteochondral lesions of the talus: from open field autologous chondrocyte to bone-marrow-derived cells transplantation. Injury. 2010;41:1196-203 pubmed publisher
  16. Giza E, Sullivan M, Ocel D, Lundeen G, Mitchell M, Veris L, et al. Matrix-induced autologous chondrocyte implantation of talus articular defects. Foot Ankle Int. 2010;31:747-53 pubmed publisher
    Osteochondral injury of the talus can be challenging to treat because the damaged articular cartilage has a poor intrinsic reparative capability...
  17. Preiss A, Heitmann M, Frosch K. [Osteochondritis dissecans of the talus. Diagnosis and treatment]. Unfallchirurg. 2012;115:1099-108; quiz 1109-10 pubmed publisher
    Osteochondritis dissecans of the talus (ODT) describes a special entity of osteochondral lesions of the talus (OLT) which has to be distinguished from acute traumatic lesions...
  18. Wiewiorski M, Miska M, Kretzschmar M, Studler U, Bieri O, Valderrabano V. Delayed gadolinium-enhanced MRI of cartilage of the ankle joint: results after autologous matrix-induced chondrogenesis (AMIC)-aided reconstruction of osteochondral lesions of the talus. Clin Radiol. 2013;68:1031-8 pubmed publisher
    To assess cartilage quality using delayed gadolinium-enhanced magnetic resonance imaging after repair of osteochondral lesions of the talus using autologous matrix-induced chondrogenesis (AMIC).
  19. Leumann A, Valderrabano V, Plaass C, Rasch H, Studler U, Hintermann B, et al. A novel imaging method for osteochondral lesions of the talus--comparison of SPECT-CT with MRI. Am J Sports Med. 2011;39:1095-101 pubmed publisher
    ..resonance imaging (MRI) is the current standard in noninvasive diagnostics of osteochondral lesions (OCLs) of the talus. Single-photon emission computed tomography-computed tomography (SPECT-CT) is a new technique that displays ..
  20. Zhang K, Gao Y, Dai H, Zhang S, Li G, Yu B. Chondroblastoma of the talus: a case report and literature review. J Foot Ankle Surg. 2012;51:262-5 pubmed publisher
    ..that accounts for approximately 1% of all bone tumors, and approximately 4% of all chondroblastomas arise in the talus. Here we report a case of chondroblastoma in the left talus...
  21. Doral M, Bilge O, Batmaz G, Donmez G, Turhan E, Demirel M, et al. Treatment of osteochondral lesions of the talus with microfracture technique and postoperative hyaluronan injection. Knee Surg Sports Traumatol Arthrosc. 2012;20:1398-403 pubmed publisher
    ..The aim of this study is to report the outcomes of the treatment of talar osteochondral lesions with arthroscopic microfracture technique and postoperative intra-articular hyaluronan injection...
  22. Su A, Wallace I, Nakatsukasa M. Trabecular bone anisotropy and orientation in an Early Pleistocene hominin talus from East Turkana, Kenya. J Hum Evol. 2013;64:667-77 pubmed publisher
    ..the elongation, and primary orientation of trabecular bone in the KNM-ER 1464 Early Pleistocene hominin talus as compared with extant hominoid taxa...
  23. Canale S, Belding R. Osteochondral lesions of the talus. J Bone Joint Surg Am. 1980;62:97-102 pubmed
    ..Long-term results indicated that few lesions unite when treated non-operatively. Degenerative changes in the ankle joint, whether symptomatic or not, were common (50 per cent of the ankles) regardless of the type of treatment...
  24. Barnes C, Ferkel R. Arthroscopic debridement and drilling of osteochondral lesions of the talus. Foot Ankle Clin. 2003;8:243-57 pubmed
  25. Wood P, Sutton C, Mishra V, Suneja R. A randomised, controlled trial of two mobile-bearing total ankle replacements. J Bone Joint Surg Br. 2009;91:69-74 pubmed publisher
    ..However, the designs were markedly different with respect to the geometry of the articular surface of the talus and its overall shape...
  26. Saxena A, Eakin C. Articular talar injuries in athletes: results of microfracture and autogenous bone graft. Am J Sports Med. 2007;35:1680-7 pubmed
    ..Although studies show these treatments have been used with varying success, the ability to return to activity (RTA), including sports after treatment of talar dome injuries, have not been well documented...
  27. Tol J, Struijs P, Bossuyt P, Verhagen R, van Dijk C. Treatment strategies in osteochondral defects of the talar dome: a systematic review. Foot Ankle Int. 2000;21:119-26 pubmed
    ..this study was to investigate the results of different treatment strategies for osteochondral defects (OCD) of the talus. Electronic databases from 1966 to July 1998 were systematically screened...
  28. Rosenberger R, Fink C, Bale R, El Attal R, Mühlbacher R, Hoser C. Computer-assisted minimally invasive treatment of osteochondrosis dissecans of the talus. Oper Orthop Traumatol. 2006;18:300-16 pubmed
    Revascularization of areas of necrosis in the talus and stimulation of bone regeneration whilst protecting the talar hyaline cartilage using computer-assisted minimally invasive drilling or retrograde cancellous bone relining of the ..
  29. Dobbs M, Purcell D, Nunley R, Morcuende J. Early results of a new method of treatment for idiopathic congenital vertical talus. J Bone Joint Surg Am. 2006;88:1192-200 pubmed
    The treatment of idiopathic congenital vertical talus has traditionally consisted of manipulation and application of casts followed by extensive soft-tissue releases...
  30. Sterling G, Wilson A. Chondroblastoma of the talus: a case report. J Foot Ankle Surg. 2002;41:178-82 pubmed
    ..This article reports the case of a chondroblastoma affecting the talus of a young man and a minimally invasive surgical approach for the treatment of this lesion...
  31. Thordarson D. Talar body fractures. Orthop Clin North Am. 2001;32:65-77, viii pubmed
    Fractures to the body of the talus include a wide array of injuries, varying from relatively minor posterior tuberosity fractures to devastating comminuted body fractures...
  32. Mitchell M, Giza E, Sullivan M. Cartilage transplantation techniques for talar cartilage lesions. J Am Acad Orthop Surg. 2009;17:407-14 pubmed
    ..Arthroscopic management of osteochondral lesions of the talus is well documented...
  33. Takao M, Ochi M, Uchio Y, Naito K, Kono T, Oae K. Osteochondral lesions of the talar dome associated with trauma. Arthroscopy. 2003;19:1061-7 pubmed
    ..The purpose of this study was to clarify the differences in the causes of osteochondral lesions (OCL) of the ankle based on the presence of distal fibular fractures and lateral instability of the ankle...
  34. Ray R, COUGHLIN E. Osteochondritis dissecans of the talus. J Bone Joint Surg Am. 1947;29:697-706 pubmed
  35. Lee K, Yang H, Moon E, Song E. Modified step-cut medial malleolar osteotomy for osteochondral grafting of the talus. Foot Ankle Int. 2008;29:1107-10 pubmed publisher
    Osteochondral grafting for the treatment of osteochondral lesions of the talus (OLT) usually requires a medial malleolar osteotomy (MMO) to achieve adequate intraarticular exposure...
  36. Kolker D, Wilson M. Tibiocalcaneal arthrodesis after total talectomy for treatment of osteomyelits of the talus. Foot Ankle Int. 2004;25:861-5 pubmed
    ..Outcomes after talectomy combined with tibiocalcaneal arthrodesis are variable, and there have been few reports of results for tibiocalcaneal arthrodesis after total talectomy using an external fixator as the sole stabilizing modality...
  37. Gregush R, Ferkel R. Treatment of the unstable ankle with an osteochondral lesion: results and long-term follow-up. Am J Sports Med. 2010;38:782-90 pubmed publisher
    Few reports have studied the treatment of osteochondral lesions of the talus (OLTs) in the setting of lateral ankle instability.
  38. Freihaut R, O Keane J, Stephens M. Dysplasia epiphysealis hemimelica with associated osteochondral lesion of the talus: a case report and review of the literature. Foot Ankle Int. 2007;28:727-30 pubmed
  39. Pearce D, Mongiardi C, Fornasier V, Daniels T. Avascular necrosis of the talus: a pictorial essay. Radiographics. 2005;25:399-410 pubmed
    The talus is predisposed to avascular necrosis (AVN), or bone death due to ischemia, owing to its unique structure, characteristic extraosseous arterial sources, and variable intraosseous blood supply...
  40. Sormaala M, Niva M, Kiuru M, Mattila V, Pihlajamaki H. Bone stress injuries of the talus in military recruits. Bone. 2006;39:199-204 pubmed
    ..study was to assess the incidence, anatomic distribution, and nature of fatigue bone stress injuries of the talus in military recruits based on magnetic resonance imaging (MRI)...
  41. Millington S, Grabner M, Wozelka R, Hurwitz S, Crandall J. A stereophotographic study of ankle joint contact area. J Orthop Res. 2007;25:1465-73 pubmed
    ..The contact area is larger than previously reported, as the entire joint surface was analyzed. Joint contact extends over both the talar dome and the talar shoulders where osteochondritis dissecans lesions commonly occur...
  42. Kruse L, Gurnett C, Hootnick D, Dobbs M. Magnetic resonance angiography in clubfoot and vertical talus: a feasibility study. Clin Orthop Relat Res. 2009;467:1250-5 pubmed publisher
    ..arterial pattern have been associated with multiple congenital limb deformities including clubfoot and vertical talus. Investigators have observed absence of the anterior tibial artery and dorsalis pedis artery in most patients with ..
  43. O Loughlin P, Heyworth B, Kennedy J. Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle. Am J Sports Med. 2010;38:392-404 pubmed publisher
    ..The purpose of this article is to review the history, etiology, and classification systems for osteochondral lesions of the ankle, as well as to describe current approaches to diagnosis and management...
  44. Van Bergen C, Blankevoort L, de Haan R, Sierevelt I, Meuffels D, d Hooghe P, et al. Pulsed electromagnetic fields after arthroscopic treatment for osteochondral defects of the talus: double-blind randomized controlled multicenter trial. BMC Musculoskelet Disord. 2009;10:83 pubmed publisher
    ..We hypothesize that PEMF-treatment compared to sham-treatment after arthroscopy will lead to earlier resumption of sports, and aim at 25% increase in patients that resume sports...
  45. O Farrell T, Costello B. Osteochondritis dissecans of the talus. The late results of surgical treatment. J Bone Joint Surg Br. 1982;64:494-7 pubmed
    Thirty-five cases of osteochondritis dissecans of the talus, operated on between 1950 and 1978, were studied. Twenty-four were available for follow-up an average of 47 months later...
  46. Svoboda S, McHale K, Belkoff S, Cohen K, Klemme W. The effects of tibial malrotation on the biomechanics of the tibiotalar joint. Foot Ankle Int. 2002;23:102-6 pubmed
    ..In conclusion, rotational deformity across the tibiotalar joint results in significant alteration of overall joint biomechanics and should be minimized whenever possible...
  47. Giannini S, Battaglia M, Buda R, Cavallo M, Ruffilli A, Vannini F. Surgical treatment of osteochondral lesions of the talus by open-field autologous chondrocyte implantation: a 10-year follow-up clinical and magnetic resonance imaging T2-mapping evaluation. Am J Sports Med. 2009;37 Suppl 1:112S-8S pubmed publisher
    Ideal treatment of osteochondral lesions of the talus is still controversial...
  48. Schulze W, Richter J, Russe O, Ingelfinger P, Muhr G. Surgical treatment of talus fractures: a retrospective study of 80 cases followed for 1-15 years. Acta Orthop Scand. 2002;73:344-51 pubmed
    ..Radiographs showed ankle or subtalar arthrosis in two thirds of the patients. A normal range of motion was achieved in 18 ankle and 19 subtalar joints. The overall rate of talar necrosis was 9/80 fractures...
  49. Sarlieve P, Lerais J, Delabrousse E, Clair C, Kastler B, Krause D. [Fluid-fluid level in an intra-osseous ganglion cyst of the talus]. J Radiol. 2003;84:417-9 pubmed
    The author report a very rare case of fluid-fluid level in an intra-osseous ganglion cyst of the talus that was detected on CT and MR imaging...
  50. Nam E, Ferkel R, Applegate G. Autologous chondrocyte implantation of the ankle: a 2- to 5-year follow-up. Am J Sports Med. 2009;37:274-84 pubmed publisher
    ..Treatment of full-thickness talar cartilage defects that have failed previous surgery is problematic without a definitive solution...
  51. Hermanson E, Ferkel R. Bilateral osteochondral lesions of the talus. Foot Ankle Int. 2009;30:723-7 pubmed publisher
    Osteochondral lesions of the talus (OLT) are relatively uncommon but may be a cause of significant pain and disability...
  52. Young K, Deland J, Lee K, Lee Y. Medial approaches to osteochondral lesion of the talus without medial malleolar osteotomy. Knee Surg Sports Traumatol Arthrosc. 2010;18:634-7 pubmed publisher
    The purpose of this study was to determine the area of the talus that can be reached through combined anterior and posterior arthrotomy without medial malleolar osteotomy...
  53. Whittaker J, Smith G, Makwana N, Roberts S, Harrison P, Laing P, et al. Early results of autologous chondrocyte implantation in the talus. J Bone Joint Surg Br. 2005;87:179-83 pubmed
    ..We describe ten patients with an osteochondral lesion of the talus who underwent ACI using cartilage taken from the knee and were prospectively reviewed with a mean follow-up of 23 ..