Talus Lesion Treatment
Talus Lesion Treatment - Related Videos
07:24
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Cited by 21 •
2018
The aim of this study is to report a protocol for the arthroscopic treatment of osteochondral lesions of the talus using microfractured and purified adipose-derived stem cells.
11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Cited by 25 •
2013
Psoriasis is a chronic, immune-mediated inflammatory skin disease. The Goeckerman regimen, formulated for the treatment of psoriasis, consists of exposure to ultraviolet B (UVB) light and application of crude coal tar (CCT). The following protocol is for the administration of Goeckerman therapy for the treatment of moderate-to-severe psoriasis.
09:22
Sectioning Mammary Gland Whole Mounts for Lesion Identification
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Cited by 13 •
2017
We developed a method to successfully remove, process, section, and stain, for histopathological evaluation, mammary tissue that had originally been fixed on slides as whole mounts. This method may promote the collection and evaluation of mammary gland whole mounts in reproductive and developmental test guideline studies.
08:16
Comparative Lesions Analysis Through a Targeted Sequencing Approach
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2019
This article describes a method to identify clonal and subclonal alterations among different specimens from a given patient. Although the experiments described here focus on a specific tumor type, the approach is broadly applicable to other solid tumors.
09:26
Preparation and Using Phantom Lesions to Practice Fine Needle Aspiration Biopsies
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Cited by 6 •
2009
Practicing of fine needle aspiration biopsies (FNAB) by trainees is relatively challenging, due to the lack of an easily available, appropriate lesion. Preparation of an AV phantom lesion for practicing the FNAB procedure and mastering proficiency is relatively easy.
FAQs
Lesion size and stability help determine whether the damaged area may improve without surgery or needs structural intervention. Smaller or stable lesions can be managed with activity modification, immobilization, and protected weight bearing. Larger or unstable lesions may continue to cause symptoms or compromise the joint surface, prompting consideration of debridement, marrow stimulation, fixation, or grafting.
Symptoms show how the lesion affects pain and ankle function, while imaging findings help characterize its size and stability. Considering both provides a more complete basis for treatment selection than either factor alone. This combined assessment helps clinicians match conservative care or a restorative procedure to the lesion’s apparent behavior and its effect on the patient.
Stable lesions may improve when mechanical demands on the ankle are reduced. Activity modification limits aggravating use, immobilization supports the joint during recovery, and protected weight bearing decreases loading while healing is assessed. If symptoms persist or the lesion proves unstable, conservative measures may be insufficient, leading clinicians to consider procedures designed to address the damaged surface or underlying bone.
Treatment seeks more than short-term pain relief. It aims to support healing, preserve the ankle’s joint surface, and maintain function over time. Procedures such as marrow stimulation, fixation, or cartilage and bone grafting are selected when needed to address the lesion’s structural features. Successful management may also reduce the risk of progressive joint degeneration.
Initial nonoperative care may combine activity modification, immobilization, and protected weight bearing. These measures reduce stress on the ankle while clinicians monitor symptoms and relevant imaging findings. The approach is most consistent with stable lesions that do not require immediate structural repair. Persistent symptoms or evidence of instability can change the plan toward surgical management.
When symptoms persist or a lesion is unstable, treatment may involve arthroscopic debridement, marrow stimulation, fixation, or cartilage and bone grafting. These procedures address different needs, including removal of damaged tissue, stimulation of healing, stabilization, or restoration of the joint surface and underlying bone. Selection depends on lesion characteristics, symptoms, stability, and imaging findings.
Arthroscopic debridement and marrow stimulation represent distinct procedural strategies. Debridement removes damaged tissue, whereas marrow stimulation is intended to encourage a healing response in the affected area. Either may be considered for persistent or unstable lesions, but the appropriate choice depends on the lesion’s characteristics and the broader goal of restoring or supporting the ankle joint surface.
Management is particularly relevant after sports injuries and trauma, as well as during long-term ankle rehabilitation. These settings may involve ongoing pain, impaired function, or concern about preserving the joint surface. Treatment planning connects lesion assessment with functional recovery, helping determine whether activity modification and protection are adequate or whether a restorative or stabilizing procedure should be considered.