Osteochondral defects in the ankle: why painful?
Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts. The development of a symptomatic OD depends on various factors, including the damage and insufficient repair of the subchondral bone pl...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2010-05, Vol.18 (5), p.570-580 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | van Dijk, C. Niek Reilingh, Mikel L. Zengerink, Maartje van Bergen, Christiaan J. A. |
| description | Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts. The development of a symptomatic OD depends on various factors, including the damage and insufficient repair of the subchondral bone plate. The ankle joint has a high congruency. During loading, compressed cartilage forces its water into the microfractured subchondral bone, leading to a localized high increased flow and pressure of fluid in the subchondral bone. This will result in local osteolysis and can explain the slow development of a subchondral cyst. The pain does not arise from the cartilage lesion, but is most probably caused by repetitive high fluid pressure during walking, which results in stimulation of the highly innervated subchondral bone underneath the cartilage defect. Understanding the natural history of osteochondral defects could lead to the development of strategies for preventing progressive joint damage. |
| doi_str_mv | 10.1007/s00167-010-1064-x |
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Niek ; Reilingh, Mikel L. ; Zengerink, Maartje ; van Bergen, Christiaan J. A.</creator><creatorcontrib>van Dijk, C. Niek ; Reilingh, Mikel L. ; Zengerink, Maartje ; van Bergen, Christiaan J. A.</creatorcontrib><description>Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts. The development of a symptomatic OD depends on various factors, including the damage and insufficient repair of the subchondral bone plate. The ankle joint has a high congruency. During loading, compressed cartilage forces its water into the microfractured subchondral bone, leading to a localized high increased flow and pressure of fluid in the subchondral bone. This will result in local osteolysis and can explain the slow development of a subchondral cyst. The pain does not arise from the cartilage lesion, but is most probably caused by repetitive high fluid pressure during walking, which results in stimulation of the highly innervated subchondral bone underneath the cartilage defect. Understanding the natural history of osteochondral defects could lead to the development of strategies for preventing progressive joint damage.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-010-1064-x</identifier><identifier>PMID: 20151110</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Ankle ; Ankle Injuries - complications ; Ankle Injuries - physiopathology ; Ankle Joint - anatomy & histology ; Ankle Joint - physiopathology ; Ankles ; Arthralgia - etiology ; Arthralgia - physiopathology ; Asymptomatic ; Bone Cysts - complications ; Bone Cysts - etiology ; Bone Cysts - physiopathology ; Bones ; Cartilage ; Cartilage - injuries ; Cartilage - physiopathology ; Cartilage, Articular - anatomy & histology ; Cartilage, Articular - injuries ; Cartilage, Articular - physiopathology ; Collagen ; Cysts ; Defects ; Etiology ; Fractures ; Humans ; Joints ; Ligaments ; Medicine ; Medicine & Public Health ; Natural history ; Orthopedics ; Pain ; Pathogenesis ; Range of motion ; Strategy ; Stress ; Surgery ; Talus - injuries ; Talus - physiopathology ; Trauma</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2010-05, Vol.18 (5), p.570-580</ispartof><rights>The Author(s) 2010</rights><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-d720767744fbd40a60029537605f178340c697d5c3d3540e41d9c840eae00c4b3</citedby><cites>FETCH-LOGICAL-c500t-d720767744fbd40a60029537605f178340c697d5c3d3540e41d9c840eae00c4b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-010-1064-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-010-1064-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20151110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Dijk, C. Niek</creatorcontrib><creatorcontrib>Reilingh, Mikel L.</creatorcontrib><creatorcontrib>Zengerink, Maartje</creatorcontrib><creatorcontrib>van Bergen, Christiaan J. A.</creatorcontrib><title>Osteochondral defects in the ankle: why painful?</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts. The development of a symptomatic OD depends on various factors, including the damage and insufficient repair of the subchondral bone plate. The ankle joint has a high congruency. During loading, compressed cartilage forces its water into the microfractured subchondral bone, leading to a localized high increased flow and pressure of fluid in the subchondral bone. This will result in local osteolysis and can explain the slow development of a subchondral cyst. The pain does not arise from the cartilage lesion, but is most probably caused by repetitive high fluid pressure during walking, which results in stimulation of the highly innervated subchondral bone underneath the cartilage defect. 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Niek</au><au>Reilingh, Mikel L.</au><au>Zengerink, Maartje</au><au>van Bergen, Christiaan J. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteochondral defects in the ankle: why painful?</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2010-05-01</date><risdate>2010</risdate><volume>18</volume><issue>5</issue><spage>570</spage><epage>580</epage><pages>570-580</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts. The development of a symptomatic OD depends on various factors, including the damage and insufficient repair of the subchondral bone plate. The ankle joint has a high congruency. During loading, compressed cartilage forces its water into the microfractured subchondral bone, leading to a localized high increased flow and pressure of fluid in the subchondral bone. This will result in local osteolysis and can explain the slow development of a subchondral cyst. The pain does not arise from the cartilage lesion, but is most probably caused by repetitive high fluid pressure during walking, which results in stimulation of the highly innervated subchondral bone underneath the cartilage defect. Understanding the natural history of osteochondral defects could lead to the development of strategies for preventing progressive joint damage.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20151110</pmid><doi>10.1007/s00167-010-1064-x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2010-05, Vol.18 (5), p.570-580 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Springer journals; Wiley-Blackwell subscription journals |
| subjects | Ankle Ankle Injuries - complications Ankle Injuries - physiopathology Ankle Joint - anatomy & histology Ankle Joint - physiopathology Ankles Arthralgia - etiology Arthralgia - physiopathology Asymptomatic Bone Cysts - complications Bone Cysts - etiology Bone Cysts - physiopathology Bones Cartilage Cartilage - injuries Cartilage - physiopathology Cartilage, Articular - anatomy & histology Cartilage, Articular - injuries Cartilage, Articular - physiopathology Collagen Cysts Defects Etiology Fractures Humans Joints Ligaments Medicine Medicine & Public Health Natural history Orthopedics Pain Pathogenesis Range of motion Strategy Stress Surgery Talus - injuries Talus - physiopathology Trauma |
| title | Osteochondral defects in the ankle: why painful? |
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