Science.gov (United States)

The aim of this study was to compare the results of different treatment strategies for osteochondral defects (OCD) of the talus. Electronic databases from 1966 to June 2000 were systematically screened. Thirty-nine studies fulfilled our inclusion criteria. No randomized clinical trials could be identified. The results of nonoperative treatment were described in 14 studies, of excision alone in 4, of excision and curettage in 10, of excision, curettage and drilling in 21, of cancellous bone grafting in 2, of fixation in 3, and of osteochondral transplantation in 1. Good or excellent results were found in 45% of the cases. Comparison of different surgical procedures showed that excision, curettage and drilling resulted in the highest mean success rate (86%), followed by excision and curettage (76%) and excision alone (38%). From the results of this systematic review we conclude that nonoperative treatment and excision alone are not to be recommended for treatment of ...

Energy Technology Data Exchange (ETDEWEB)

Purpose: The aim of this study was to evaluate the accuracy of MRI in the measurement of cartilage thickness of the ankle joint in comparison to pathologic and histologic specimens. Patients and methods: The ankle joints of four fresh cadaver feet were imaged on a 1.5 T MR-unit in the coronal plane. Standard T{sub 1}-weighted spin echo (SE) and a T{sub 1}-weighted 3D-GE (FLASH-3D) sequence with fat saturation were applied. Following MR imaging, the talus was explanted and cut parallel to the MR images for macroscopic evaluation and histologic specimens were prepared. MRI measurements of the cartilage thickness of the talus were carried out in two ways: Without and with consideration of a transition zone of intermediate signal intensity between hyperintense cartilage and hypointense cortical bone. The data were compared with the anatomic specimens as the gold standard expressing the difference as a percentage value. On histologic specimens ...

Energy Technology Data Exchange (ETDEWEB)

The geology of the central Roam Plateau area in the south-central part of the Piceance Creek basin, comprising four 7.5-minute quadrangles, is described. Subsurface rocks penetrated by drill holes include the Mancos Shale and Mesaverde Formation of Later Cretaceous age, and parts of the Wasatch Formation of Paleocene and Eocene age, and Green River Formation of Eocene age. Exposed rocks, aggregating as much as 4,550 feet in thickness, are all Eocene in age and include the upper part of the Wasatch Formation , and the Green River and Uinta formations. The Green River and Uinta formations are extensively intertongued. Surficial deposits of Quaternary age include alluvium, talus, slopewash, and landslides. Two northwesterly trending folds, the Clear Creek Syncline and the Crystal Creek anticlinal nose, are present in the northern part of the area. There are no major faults. The area contains large potentially important oil-shale resources, mostly in the Parachute ...