Understanding Pain in Osteochondral Lesions of the Talus: A Cross-Sectional, CT‑Based Analysis Showing Limited and Inconsistent Associations With Pain

No association was found between CT-based radiologic lesion characteristics and patient-reported pain as measured by the FAOS Pain subscale. In secondary analyses, some lesion characteristics showed associations, but these were limited and directionally inconsistent. These findings suggest structural damage alone does not seem to fully explain the patient's pain. Given the CT‑only approach and other design constraints, further research is warranted.

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Publication Details

Journal
Foot & Ankle International
Published
2026-03-03
DOI
https://doi.org/10.1177/10711007251413568
Primary Topic
Foot and Ankle Surgery
Type
article
Field-Weighted Citation Impact
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article

Understanding Pain in Osteochondral Lesions of the Talus: A Cross-Sectional, CT‑Based Analysis Showing Limited and Inconsistent Associations With Pain

Kaj S. Emanuel, Julian J. Hollander, I. N. Sierevelt, J. Steman et al.
Foot & Ankle International
Foot and Ankle Surgery
article

Understanding Pain in Osteochondral Lesions of the Talus: A Cross-Sectional, CT‑Based Analysis Showing Limited and Inconsistent Associations With Pain

Kaj S. Emanuel, Julian J. Hollander, I. N. Sierevelt, J. Steman, Juliëtte H M Pijnacker, Sjoerd A. S. Stufkens, Gino M. M. J. Kerkhoffs
article en

Abstract

No association was found between CT-based radiologic lesion characteristics and patient-reported pain as measured by the FAOS Pain subscale. In secondary analyses, some lesion characteristics showed associations, but these were limited and directionally inconsistent. These findings suggest structural damage alone does not seem to fully explain the patient's pain. Given the CT‑only approach and other design constraints, further research is warranted.

Foot & Ankle International
International Olympic Committee (CH), Spaarne Ziekenhuis (NL), Academic Center for Evidence-Based Sports Medicine (NL), Public Health Service of Amsterdam (NL), Amsterdam University Medical Centers (NL), Spaarne Gasthuis (NL), Health & Safety in Sports (NL), University of Amsterdam (NL)
Openalex Percentile: Top 36%
Foot and Ankle Surgery
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Understanding Pain in Osteochondral Lesions of the Talus: A Cross-Sectional, CT‑Based Analysis Showing Limited and Inconsistent Associations With Pain — Kaj S. Emanuel, Julian J. Hollander, et al. · Foot & Ankle International (2026) | TGRS Research Map | TGRS