{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T03:17:59Z","timestamp":1789269479599,"version":"build-2803163510"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T00:00:00Z","timestamp":1505779200000},"content-version":"vor","delay-in-days":1176,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd-license\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Joints"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>Osteochondritis dissecans (OCD) is an acquired idiopathic lesion of subchondral bone that can produce delamination and sequestration with or without articular cartilage involvement and instability.<\/jats:p><jats:p>The cause of OCD is still debated: the most recognized etiology is the occurrence of repetitive micro-traumas associated with vascular impairment, causing progressive ankle pain and dysfunction in skeletally immature and young adult patients.<\/jats:p><jats:p>Ankle OCD is classically located in the medial part of the talus, while lateral and posterior involvement is less frequent.<\/jats:p><jats:p>Diagnosis of OCD, based on MRI findings, is quite straightforward; MRI examination can also be very useful for dating the defect and obtaining information about the associated bone bruise.<\/jats:p><jats:p>Osteochondritis dissecans, if not recognized and treated appropriately, may lead to secondary osteoarthritis with pain and functional limitation.<\/jats:p><jats:p>Surgical treatment is mandatory especially in young patients with unstable cartilage fragments. There are various surgical options: fixation, microfracture, or substitution using autologous chondrocyte implantation techniques.<\/jats:p>","DOI":"10.11138\/jts\/2014.2.3.115","type":"journal-article","created":{"date-parts":[[2014,9,30]],"date-time":"2014-09-30T11:44:51Z","timestamp":1412077491000},"page":"115-123","source":"Crossref","is-referenced-by-count":58,"title":["Osteochondritis dissecans of the talus"],"prefix":"10.1055","volume":"02","author":[{"given":"Giacomo","family":"Zanon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Pavia, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Di Vico","sequence":"additional","affiliation":[{"name":"Casa di Cura S. Michele, Maddaloni, Caserta, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Marullo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Pavia, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,9,19]]},"container-title":["Joints"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.11138\/jts\/2014.2.3.115.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T15:16:41Z","timestamp":1557155801000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.11138\/jts\/2014.2.3.115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2017,9,19]]},"published-print":{"date-parts":[[2014,7]]}},"URL":"https:\/\/doi.org\/10.11138\/jts\/2014.2.3.115","relation":{},"ISSN":["2282-4324","2512-9090"],"issn-type":[{"value":"2282-4324","type":"print"},{"value":"2512-9090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7]]}}}