Cartilage Lesion, Osteochondral Lesion
Conditions
Keywords
Cartilage Lesion, Osteochondral Lesion, Osteochondral Defect, Cone Beam arthrogram, CBCT arthrogram, CT arthrogram, Weight bearing CBCT, Ankle
Brief summary
This study aims to compare weight-bearing Cone Beam CT arthrogram and conventional CT arthrogram in assessement of patients with ankle osteo-chondral or cartilage lesions.
Detailed description
Weight-bearing Cone Beam CT (CBCT) arthrogram, a technique with less radiation dose than conventional CT, is hypothesized non-inferior to conventional CT arthrogram to diagnose osteo-chondral (OCL) or cartilage lesions of the ankle.
Interventions
Conventional CT arthrogram as routine care
Cone Beam CT scan.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged ≥ 18 years; * Patients require CT arthrogram of the ankle; * Affiliated to a social security schema; * Informed consent signed by patients.
Exclusion criteria
* Pregnant women; * Impossibility of injection of intra-articular contrast product; * Hypersensitivity reactions to iodinated contrast agent; * Patient refusal; * Patient under french AME scheme; * Patient under guardianship by tutor or curator.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Localisation of the lesions | at baseline | Localisation of cartilage and osteochondral lesions assessed by CT scan |
| Number of the lesions | at baseline | Number of cartilage and osteochondral lesions assessed by CT scan |
| Size of the lesions | at baseline | Size of cartilage and osteochondral lesions assessed by CT scan |
| Unstable displaced lesions | at baseline | Displaced osteochondral fragment in the joint. |
| Unstable non-displaced lesions | at baseline | Contrast enhanced fluid from the arthrogram surrounding the osteochondral fragment. |
Countries
France