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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2020; 61(02): 069-074
DOI: 10.1055/s-0040-1713380
Case Report | Relato de Caso

Tratamiento Artroscópico en Lesión Osteocondral Subtalar

Arthroscopic Treatment of Subtalar Osteochondral Lesion
Eckholt G. Sergio 
1   Traumatólogo, Jefe Equipo Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital de Carabineros, Región Metropolitana, Santiago, Chile
,
Palma P. Javier 
2   Residente Ortopedia y Traumatología, Universidad Finis Terrae, Providencia, Santiago, Chile
,
Becerra H. Eduardo 
3   Traumatólogo, Equipo de Tobillo y Pie, Departamento de Ortopedia y Traumatología, Hospital de Carabineros, Región Metropolitana, Santiago, Chile
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Resumen

Las lesiones osteocondrales de la articulación subtalar es una patología infrecuente y de incidencia variable, dado su reporte principalmente como hallazgo en el estudio de dolor crónico de tobillo y ya con cambios degenerativos articulares. La sospecha clínica y el estudio imagenológico dirigido, permiten investigar esas lesiones en estadios iniciales, evitando así el uso de técnicas que no preservan la articulación para su manejo. La artroscopía subtalar es una excelente herramienta tanto diagnóstica como terapéutica para la resolución de dichas lesiones. Dadas las características anatómicas y biomecánicas de la articulación, en estadios iniciales, el manejo mediante sinovectomía y microfracturas es una alternativa con excelentes resultados funcionales.

Este trabajo incluye dos casos de lesiones osteocondrales de la faceta posterior de la articulación subtalar manejadas vía artroscópica mediante sinovectomía y microfracturas y su posterior evolución.

Abstract

Osteochondral lesions in the subtalar joint are an uncommon pathology with a variable incidence, being mainly reported as a finding in chronic ankle pain studies and with already visible degenerative joint changes at time of diagnosis. Clinical suspicion and directed imaging study, allows to investigate these lesions during early stages, thus avoiding the use of invasive techniques with scarce joint preservation. Subtalar arthroscopy is an excellent diagnostic and therapeutic tool for the resolution of these lesions. Given the anatomical and biomechanical characteristics of the joint, in the early stages the management by synovectomy and microfractures is an alternative with excellent functional results.

This study includes two cases of osteochondral lesions of the posterior facet of the subtalar joint managed through arthroscopically synovectomy and microfractures and their subsequent evolution.

Palabras claves

articulación subtalar - lesión osteocondral - microfractura - artroscopía subtalar

Keywords

subtalar joint - osteochondral lesion - microfracture - subtalar arthroscopy


Publication History

Received: 19 August 2019

Accepted: 06 May 2020

Article published online:
10 August 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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