History, Physical Examination, and Terminology of Osteochondral Lesions of the Talus: Proceedings of the International Congress on Cartilage Repair of the Ankle.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tham Alexander, Butler James J, Rubin Jared, van Bergen Christiaan J A, Baur Onno L, Murawski Christopher D, Spennacchio Pietro, Carreira Dominic, Kearns Stephen R, Mitchell Adam W, Pereira Helder, Pearce Christopher, Calder James, Jamal M Shazil, Hurley Eoghan T, Buda Roberto, Hunt Kenneth J, McCollum Graham, Paul Jochen, Vannini Francesca, Walther Markus, Yasui Youichi, Ali Zakariya, J Altink J Nienke, Batista Jorge P, Bayer Steven, Berlet Gregory, Dahmen Jari, Davey Martin S, D'Hooghe Pieter, DiGiovanni Christopher, Ferkel Richard D, Gianakos Arianna L, Giza Eric, Glazebrook Mark, Hangody Laszlo, Haverkamp Daniel, Hintermann Beat, Hua Yinghui, Hurley Daire, Karlsson Jon, Kennedy John G, Kerkhoffs Gino M M J, Lambers Kaj T A, Woo Lee Jin, Mercer Nathaniel P, Mulvin Conor, Nunley James A, Prado Marcelo Pires, Raikin Steven M, Savage-Elliott Ian, Schon Lew C, Shimozono Yoshiharu, Stone James W, Stufkens Sjoerd A S, Sullivan Martin, Takao Masato, Thermann Hajo, Thordarson David B, Toale James, Valderrabano Victor, van Dijk C Niek, Walls Raymond J, Younger Alastair S E, Hogan MaCalus V, Members of International Consensus Group on Cartilage Repair of the Ankle 2017*
Аннотация
BackgroundOsteochondral lesions of the talus (OLT) remain challenging to evaluate and report because of historically inconsistent terminology and nonspecific clinical findings. The 2017 and 2019 International Consensus Meetings on Cartilage Repair of the Ankle addressed complementary aspects of OLT evaluation, including history, physical examination, and terminology. The purpose of this proceedings article is to integrate these consensus statements into a concise framework for clinicians and researchers.MethodsSelected statements from the 2017 and 2019 International Consensus Meetings were reviewed and synthesized. Both meetings used a modified Delphi consensus process involving international experts in ankle cartilage repair. Statements were developed through blinded electronic surveys, structured questionnaires, literature review, in-person discussion, and final anonymous voting. Consensus strength was defined as consensus, strong consensus, or unanimous agreement according to predefined voting thresholds.ResultsConsensus statements supported standardized terminology distinguishing subchondral bone lesions, chondral lesions, and OLT. Bone marrow stimulation was endorsed as an umbrella term for marrow-access procedures, and standardized terminology was recommended for autologous and allograft osteochondral transplantation. The panel also supported consistent reporting of subchondral edema, subchondral cysts, lesion area, diameter, depth, and injury chronicity. For clinical assessment, consensus supported documentation of activity level, symptom duration, trauma history, pain localization, mechanical symptoms, prior treatment, swelling, alignment, ankle range of motion, stability, and tenderness to palpation. Deep activity-related ankle pain, with or without swelling, was identified as the most important clinical feature suggesting a symptomatic ankle cartilage lesion.ConclusionThis proceedings article integrates terminology, history, and physical examination recommendations from the 2017 and 2019 International Consensus Meetings on Cartilage Repair of the Ankle. Standardized use of these definitions and clinical assessment elements may improve clinical communication, documentation, and consistency in research reporting.