The too-long anterior process and osteochondral lesion of the talus: Is there an anatomical predisposition? A case-control study on 135 feet. - Université de Lille Accéder directement au contenu
Article Dans Une Revue Journal of Foot and Ankle Surgery Année : 2022

The too-long anterior process and osteochondral lesion of the talus: Is there an anatomical predisposition? A case-control study on 135 feet.

Résumé

Introduction The too-long anterior process (TLAP) increases mechanical stress on the hindfoot and could lead to osteochondral lesions of the talus (OLT) by localized hyper-pressure. The purpose of this study is to investigate an association between TLAP and OLT in children. Methods This is a retrospective, multicenter, case-control study conducted between 2010 and 2020. The OLT group was compared to a control group (CoG). TLAP is characterized by a distance between the anteromedial process of the calcaneus and the navicular bone (CN) of< 5 mm. Results Forty-three feets were included in the OLT group and 92 in the CoG. The OLT group had a lower CN distance on CT than the CoG, a median of 2.8 mm versus 3.75 mm (p = 0.002); 86% of patients (37 feet/43) in the OLT group had a CN distance of< 5 mm (OR=3.0 [1.1; 9.5], p = 0.023) compared to 67% in the CoG. Discussion The OLT group had an increased risk of developing TLAP compared to the CoG.

Dates et versions

hal-04617003 , version 1 (19-06-2024)

Identifiants

Citer

Juliette Wartelle, Bastien Hocquet, Giovanni Lucchesi, Raphaël Coursier, Nathalie Boutry, et al.. The too-long anterior process and osteochondral lesion of the talus: Is there an anatomical predisposition? A case-control study on 135 feet.. Journal of Foot and Ankle Surgery, 2022, Journal of Foot and Ankle Surgery, 28 (7), pp.1076-1082. ⟨10.1016/j.fas.2022.03.002⟩. ⟨hal-04617003⟩

Collections

UNIV-LILLE MABLAB
3 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More