title: Talus osteochondral bruises and defects: diagnosis and differentiation.
abstract: Acute bone bruises of the talus after ankle injury need to be managed differently from osteochondral defects. Bone bruises have a benign course, but there may be persistent edema. A bone bruise should not delay rehabilitation unless symptoms persist or significant edema is close to the subchondral plate. Osteochondral defects have a less predictable prognosis, and rehabilitation should aim at promoting healing of the subchondral fracture. A period of nonweight bearing reduces the cyclical pressure load through the fissure and promotes healing. Surgery should be reserved for chronic symptomatic lesions or for those patients undergoing lateral ligament reconstruction.
authors: Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK; Fortius Clinic, 17 Fitzhardinge Street, London W1H 6EQ, UK.
authors: Graham A
authors: GA
authors: McCollum
authors: James D F
authors: JD
authors: Calder
authors: Umile Giuseppe
authors: UG
authors: Longo
authors: Mattia
authors: M
authors: Loppini
authors: Giovanni
authors: G
authors: Romeo
authors: C Niek
authors: CN
authors: van Dijk
authors: Nicola
authors: N
authors: Maffulli
authors: Vincenzo
authors: V
authors: Denaro
mesh_terms: D016512:Ankle Injuries / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D002358:Cartilage, Articular / Q000293:injuries* / Q000473:pathology; D003288:Contusions / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D050723:Fractures, Bone / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D013628:Talus / Q000293:injuries* / Q000473:pathology