{"id":12401,"date":"2025-05-10T20:15:42","date_gmt":"2025-05-10T20:15:42","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/management-of-ankle-osteochondral-lesions-uk\/"},"modified":"2025-05-10T20:15:42","modified_gmt":"2025-05-10T20:15:42","slug":"management-of-ankle-osteochondral-lesions-uk","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/uk\/management-of-ankle-osteochondral-lesions-uk\/","title":{"rendered":"\u041c\u0435\u043d\u0435\u0434\u0436\u043c\u0435\u043d\u0442 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>\u0420\u0435\u0434\u0430\u043a\u0442\u043e\u0440 <\/b>&#8211; <a title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\">Ewa Jaraczewska<\/a> \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0456 \u043a\u0443\u0440\u0441\u0443 <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\" rel=\"nofollow\">Helene Simpson<\/a><br \/>\n<b>\u041e\u0441\u043d\u043e\u0432\u043d\u0438\u0439 \u0432\u043d\u0435\u0441\u043e\u043a<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a> \u0442\u0430 <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">\u0417\u043c\u0456\u0441\u0442<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definitions\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">\u0412\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Healing_of_Osteochondral_Lesions\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">\u0417\u0430\u0433\u043e\u0454\u043d\u043d\u044f <b>\u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c<\/b><\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Aetiology_of_Osteochondral_Lesions\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">\u0415\u0442\u0456\u043e\u043b\u043e\u0433\u0456\u044f <b>\u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Osteochondral_Lesions_of_the_Ankle\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Classification_System_for_Osteochondral_Lesions_of_the_Talar_Cartilage\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">\u0421\u0438\u0441\u0442\u0435\u043c\u0430 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u0445\u0440\u044f\u0449\u0430 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">\u041a\u043b\u0456\u043d\u0456\u0447\u043d\u0430 \u043a\u0430\u0440\u0442\u0438\u043d\u0430<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">\u041c\u0435\u0442\u043e\u0434\u0438 \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">\u041a\u0440\u0438\u0442\u0435\u0440\u0456\u0457 \u043e\u0446\u0456\u043d\u044e\u0432\u0430\u043d\u043d\u044f \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456\u0432<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Comprehensive_Rehabilitation\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">\u041a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u043d\u0430 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u044f<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#General_principles_in_rehabilitation_management\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">\u0417\u0430\u0433\u0430\u043b\u044c\u043d\u0456 \u043f\u0440\u0438\u043d\u0446\u0438\u043f\u0438 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u0439\u043d\u043e\u0433\u043e \u043c\u0435\u043d\u0435\u0434\u0436\u043c\u0435\u043d\u0442\u0443<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Special_Concerns\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">\u041e\u0441\u043e\u0431\u043b\u0438\u0432\u0456 \u043f\u0438\u0442\u0430\u043d\u043d\u044f, \u0449\u043e \u043f\u043e\u0442\u0440\u0435\u0431\u0443\u044e\u0442\u044c \u0443\u0432\u0430\u0433\u0438<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Shear_forces\"><span class=\"tocnumber\">7.2.1<\/span> <span class=\"toctext\">\u0421\u0438\u043b\u0438 \u0437\u0441\u0443\u0432\u0443<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Compressive_forces\"><span class=\"tocnumber\">7.2.2<\/span> <span class=\"toctext\">\u0421\u0438\u043b\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0456\u0457 (\u0441\u0442\u0438\u0441\u043a\u0430\u043d\u043d\u044f)<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-14\"><a href=\"#Slow_Recovery\"><span class=\"tocnumber\">7.2.3<\/span> <span class=\"toctext\">\u041f\u043e\u0432\u0456\u043b\u044c\u043d\u0435 \u0432\u0456\u0434\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-15\"><a href=\"#Monitor_pain\"><span class=\"tocnumber\">7.2.4<\/span> <span class=\"toctext\">\u041a\u043e\u043d\u0442\u0440\u043e\u043b\u044c \u0431\u043e\u043b\u044e<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#Compensatory_movements\"><span class=\"tocnumber\">7.2.5<\/span> <span class=\"toctext\">\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0442\u043e\u0440\u043d\u0456 \u0440\u0443\u0445\u0438<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Ankle_Osteochondral_Lesions_Treatment_Strategies.5B11.5D\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">\u0421\u0442\u0440\u0430\u0442\u0435\u0433\u0456\u0457 \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<sup>(11)<\/sup><\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Stage_1\"><span class=\"tocnumber\">7.3.1<\/span> <span class=\"toctext\">\u0415\u0442\u0430\u043f 1<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Stage_2\"><span class=\"tocnumber\">7.3.2<\/span> <span class=\"toctext\">\u0415\u0442\u0430\u043f 2<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Stage_3\"><span class=\"tocnumber\">7.3.3<\/span> <span class=\"toctext\">\u0415\u0442\u0430\u043f 3<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-21\"><a href=\"#Stage_4\"><span class=\"tocnumber\">7.3.4<\/span> <span class=\"toctext\">\u0415\u0442\u0430\u043f 4<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#Resources\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">\u0420\u0435\u0441\u0443\u0440\u0441\u0438<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">\u041f\u043e\u0441\u0438\u043b\u0430\u043d\u043d\u044f<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Definitions\" class=\"mw-headline\">\u0412\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Definitions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\">|<\/span><a title=\"Edit section: Definitions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 394px;\"><a class=\"image\" href=\"\/File:Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/39\/Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png\/392px-Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/39\/Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png\/588px-Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png 1.5x, https:\/\/www.physio-pedia.com\/images\/3\/39\/Three-types-of-cartilage-hyaline-elastic-and-fibrocartilage.png 2x\" alt=\"\" width=\"392\" height=\"296\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>3 \u0442\u0438\u043f\u0438 \u0445\u0440\u044f\u0449\u0456\u0432<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><a title=\"Cartilage\" href=\"\/Cartilage\">\u0425\u0440\u044f\u0449 &#8211; \u0446\u0435 \u0441\u043f\u043e\u043b\u0443\u0447\u043d\u0430 \u0442\u043a\u0430\u043d\u0438\u043d\u0430, \u044f\u043a\u0430 \u0441\u043a\u043b\u0430\u0434\u0430\u0454\u0442\u044c\u0441\u044f \u0437 \u043d\u0430\u0441\u0442\u0443\u043f\u043d\u0438\u0445 \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u0456\u0432:<sup id=\"cite_ref-:3_1-0\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup><\/a><\/p>\n<ul>\n<li>\u041f\u043e\u043b\u0456\u0441\u0430\u0445\u0430\u0440\u0438\u0434\u0438 (\u043a\u043b\u0456\u0442\u0438\u043d\u043d\u0438\u0439 \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442 \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0457 \u0440\u0435\u0447\u043e\u0432\u0438\u043d\u0438)<\/li>\n<li>\u0412\u043e\u043b\u043e\u043a\u043d\u0438\u0441\u0442\u0456 \u0431\u0456\u043b\u043a\u0438<\/li>\n<li>\u0406\u043d\u0442\u0435\u0440\u0441\u0442\u0438\u0446\u0456\u0430\u043b\u044c\u043d\u0430 \u0440\u0456\u0434\u0438\u043d\u0430, \u043e\u0441\u043d\u043e\u0432\u043d\u0438\u043c \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u043e\u043c \u044f\u043a\u043e\u0457 \u0454 \u0432\u043e\u0434\u0430<\/li>\n<\/ul>\n<p>\u0425\u0440\u044f\u0449 \u043e\u0442\u0440\u0438\u043c\u0443\u0454 \u0436\u0438\u0432\u043b\u0435\u043d\u043d\u044f \u0448\u043b\u044f\u0445\u043e\u043c \u0434\u0438\u0444\u0443\u0437\u0456\u0457 \u0437 \u043d\u0430\u0432\u043a\u043e\u043b\u0438\u0448\u043d\u0456\u0445 \u0442\u043a\u0430\u043d\u0438\u043d, \u043e\u0441\u043a\u0456\u043b\u044c\u043a\u0438 \u0432\u0456\u043d \u043d\u0435 \u043c\u0430\u0454 \u043f\u0440\u044f\u043c\u043e\u0433\u043e <a title=\"Blood Physiology\" href=\"\/Blood_Physiology\">\u043a\u0440\u043e\u0432\u043e\u043f\u043e\u0441\u0442\u0430\u0447\u0430\u043d\u043d\u044f<\/a>, <a title=\"Lymphatic System\" href=\"\/Lymphatic_System\">\u043b\u0456\u043c\u0444\u0430\u0442\u0438\u0447\u043d\u043e\u0457 \u0441\u0438\u0441\u0442\u0435\u043c\u0438<\/a> \u0430\u0431\u043e <a title=\"Neurone\" href=\"\/Neurone\">\u043d\u0435\u0440\u0432\u0456\u0432<\/a>.<sup id=\"cite_ref-:3_1-1\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup><\/p>\n<p>\u0420\u043e\u0437\u0440\u0456\u0437\u043d\u044f\u044e\u0442\u044c \u0442\u0440\u0438 \u0442\u0438\u043f\u0438 \u0445\u0440\u044f\u0449\u043e\u0432\u043e\u0457 \u0442\u043a\u0430\u043d\u0438\u043d\u0438: \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u0439, \u0432\u043e\u043b\u043e\u043a\u043d\u0438\u0441\u0442\u0438\u0439 \u0442\u0430 \u0435\u043b\u0430\u0441\u0442\u0438\u0447\u043d\u0438\u0439 \u0445\u0440\u044f\u0449\u0456.<sup id=\"cite_ref-:3_1-2\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup> \u041a\u043e\u0436\u0435\u043d \u0442\u0438\u043f \u0445\u0440\u044f\u0449\u043e\u0432\u043e\u0457 \u0442\u043a\u0430\u043d\u0438\u043d\u0438 \u043c\u0430\u0454 \u0440\u0456\u0437\u043d\u0438\u0439 \u0441\u043a\u043b\u0430\u0434 \u0442\u0430 \u0444\u0443\u043d\u043a\u0446\u0456\u044e:<\/p>\n<ol>\n<li>\n<div class=\"floatright\"><a class=\"image\" href=\"\/File:Extracellular_Matrix_Components_of_Cartilage.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Extracellular_Matrix_Components_of_Cartilage.jpeg\/364px-Extracellular_Matrix_Components_of_Cartilage.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Extracellular_Matrix_Components_of_Cartilage.jpeg\/546px-Extracellular_Matrix_Components_of_Cartilage.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/42\/Extracellular_Matrix_Components_of_Cartilage.jpeg\/728px-Extracellular_Matrix_Components_of_Cartilage.jpeg 2x\" alt=\"Extracellular Matrix Components of Cartilage.jpeg\" width=\"364\" height=\"199\"><\/a><\/div>\n<p><a title=\"Cartilage\" href=\"\/Cartilage\">\u0413\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u0439 \u0445\u0440\u044f\u0449<\/a> (Hyaline cartilage): \u0446\u0435 \u0441\u043f\u043e\u043b\u0443\u0447\u043d\u0430 \u0442\u043a\u0430\u043d\u0438\u043d\u0430, \u0440\u043e\u0437\u0442\u0430\u0448\u043e\u0432\u0430\u043d\u0430 \u043d\u0430 \u043a\u0456\u043d\u0446\u044f\u0445 \u043a\u0456\u0441\u0442\u043e\u043a. \u0407\u0457 \u043f\u0435\u0440\u0432\u0438\u043d\u043d\u0438\u043c\u0438 \u043a\u043b\u0456\u0442\u0438\u043d\u0430\u043c\u0438 \u0454 \u0445\u043e\u043d\u0434\u0440\u043e\u0446\u0438\u0442\u0438. \u0407\u0445 \u0440\u043e\u043b\u044c \u043f\u043e\u043b\u044f\u0433\u0430\u0454 \u0432 \u043f\u0456\u0434\u0442\u0440\u0438\u043c\u0446\u0456 <a title=\"Extracellular Matrix\" href=\"\/Extracellular_Matrix\">\u043f\u043e\u0437\u0430\u043a\u043b\u0456\u0442\u0438\u043d\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0440\u0438\u043a\u0441\u0443<\/a> \u0445\u0440\u044f\u0449\u0430 (cartilage extracellular matrix, ECM), \u044f\u043a\u0438\u0439 \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u0434\u0430\u0454 \u0437\u0430 \u0431\u0456\u043e\u043b\u043e\u0433\u0456\u0447\u043d\u0443 \u0442\u0430 \u043c\u0435\u0445\u0430\u043d\u0456\u0447\u043d\u0443 \u0444\u0443\u043d\u043a\u0446\u0456\u044e \u0445\u0440\u044f\u0449\u0430. \u0413\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u0439 \u0445\u0440\u044f\u0449\u043e\u0432\u0438\u0439 ECM \u043c\u0456\u0441\u0442\u0438\u0442\u044c:<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"Collagen\" href=\"\/Collagen\">\u041a\u043e\u043b\u0430\u0433\u0435\u043d<\/a> II \u0442\u0438\u043f\u0443 (10-20%)<\/li>\n<li>\u041f\u0440\u043e\u0442\u0435\u043e\u0433\u043b\u0456\u043a\u0430\u043d (1-10%)<\/li>\n<li>\u0412\u043e\u0434\u0430 (65-85%)<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Cartilage\" href=\"\/Cartilage\">\u0412\u043e\u043b\u043e\u043a\u043d\u0438\u0441\u0442\u0438\u0439 \u0445\u0440\u044f\u0449<\/a> (Fibrocartilage) &#8211; \u0446\u0435 \u00ab\u043f\u0435\u0440\u0435\u0445\u0456\u0434\u043d\u0430 \u0442\u043a\u0430\u043d\u0438\u043d\u0430 \u043c\u0456\u0436 \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u043c \u0445\u0440\u044f\u0449\u0435\u043c \u0456 \u0449\u0456\u043b\u044c\u043d\u043e\u044e \u0437\u0432\u0438\u0447\u0430\u0439\u043d\u043e\u044e \u0441\u043f\u043e\u043b\u0443\u0447\u043d\u043e\u044e \u0442\u043a\u0430\u043d\u0438\u043d\u043e\u044e\u00bb.<sup id=\"cite_ref-:3_1-3\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup> \u0426\u0435\u0439 \u0442\u0438\u043f \u0442\u043a\u0430\u043d\u0438\u043d\u0438 \u043c\u043e\u0436\u043d\u0430 \u0437\u043d\u0430\u0439\u0442\u0438 \u0432 \u043b\u043e\u0431\u043a\u043e\u0432\u043e\u043c\u0443 \u0441\u0438\u043c\u0444\u0456\u0437\u0456, \u0444\u0456\u0431\u0440\u043e\u0437\u043d\u043e\u043c\u0443 \u043a\u0456\u043b\u044c\u0446\u0456 \u043c\u0456\u0436\u0445\u0440\u0435\u0431\u0446\u0435\u0432\u043e\u0433\u043e \u0434\u0438\u0441\u043a\u0430, \u0441\u0443\u0445\u043e\u0436\u0438\u043b\u043b\u044f\u0445 \u0456 \u0437\u0432&#8217;\u044f\u0437\u043a\u0430\u0445.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> \u0412\u0456\u043d \u043c\u0456\u0441\u0442\u0438\u0442\u044c:<sup id=\"cite_ref-:3_1-4\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup>\n<ul>\n<li>\u0412\u0438\u0441\u043e\u043a\u0438\u0439 \u0440\u0456\u0432\u0435\u043d\u044c \u043a\u043e\u043b\u0430\u0433\u0435\u043d\u0443 I \u0442\u0438\u043f\u0443<\/li>\n<li>\u041a\u043e\u043b\u0430\u0433\u0435\u043d II \u0442\u0438\u043f\u0443<\/li>\n<li>\u041d\u0435\u0432\u0435\u043b\u0438\u043a\u0438\u0439 \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442 \u043f\u043e\u0434\u0440\u0456\u0431\u043d\u0435\u043d\u043e\u0457 \u0440\u0435\u0447\u043e\u0432\u0438\u043d\u0438<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Cartilage\" href=\"\/Cartilage\">\u0415\u043b\u0430\u0441\u0442\u0438\u0447\u043d\u0438\u0439 \u0445\u0440\u044f\u0449<\/a> (Elastic cartilage): \u0446\u0435 \u0433\u043d\u0443\u0447\u043a\u0438\u0439 \u0441\u043f\u043e\u043b\u0443\u0447\u043d\u043e\u0442\u043a\u0430\u043d\u0438\u043d\u043d\u0438\u0439 \u0445\u0440\u044f\u0449, \u044f\u043a\u0438\u0439 \u043c\u043e\u0436\u0435 \u0432\u0438\u0442\u0440\u0438\u043c\u0443\u0432\u0430\u0442\u0438 \u0431\u0430\u0433\u0430\u0442\u043e\u0440\u0430\u0437\u043e\u0432\u0456 \u0437\u0433\u0438\u043d\u0430\u043d\u043d\u044f.<sup id=\"cite_ref-:3_1-5\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup> \u0412\u0456\u043d \u0441\u043a\u043b\u0430\u0434\u0430\u0454\u0442\u044c\u0441\u044f \u0437:<sup id=\"cite_ref-:3_1-6\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup>\n<ul>\n<li>\u041a\u043e\u043b\u0430\u0433\u0435\u043d\u0443 II \u0442\u0438\u043f\u0443<\/li>\n<li>\u0415\u043b\u0430\u0441\u0442\u0438\u0447\u043d\u0438\u0445 \u0432\u043e\u043b\u043e\u043a\u043e\u043d<\/li>\n<li>\u0412\u0435\u043b\u0438\u043a\u0438\u0445 \u0445\u043e\u043d\u0434\u0440\u043e\u0446\u0438\u0442\u0456\u0432<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p><a title=\"Bone\" href=\"https:\/\/langs.physio-pedia.com\/uk\/bone-uk\/\">\u0421\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0430 \u043a\u0456\u0441\u0442\u043a\u0430<\/a> \u0440\u043e\u0437\u0442\u0430\u0448\u043e\u0432\u0430\u043d\u0430 \u043d\u0438\u0436\u0447\u0435 \u043b\u0456\u043d\u0456\u0457 \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u043e\u0433\u043e \u0445\u0440\u044f\u0449\u0430 \u0456 \u0446\u0435\u043c\u0435\u043d\u0442\u043d\u043e\u0457 \u043b\u0456\u043d\u0456\u0457 (cement line) (\u0442\u043e\u0431\u0442\u043e \u043c\u0435\u0436\u0456 \u043c\u0456\u0436 \u043a\u0430\u043b\u044c\u0446\u0438\u043d\u043e\u0432\u0430\u043d\u0438\u043c \u0445\u0440\u044f\u0449\u0435\u043c \u0456 \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u044e <a title=\"Bone\" href=\"https:\/\/langs.physio-pedia.com\/uk\/bone-uk\/\">\u043a\u0456\u0441\u0442\u043a\u043e\u044e<\/a><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup>). \u0412\u043e\u043d\u0430 \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u0434\u0430\u0454 \u0437\u0430 \u0437\u0430\u0431\u0435\u0437\u043f\u0435\u0447\u0435\u043d\u043d\u044f \u043c\u0435\u0445\u0430\u043d\u0456\u0447\u043d\u043e\u0457 (\u0432\u043a\u043b\u044e\u0447\u0430\u044e\u0447\u0438 \u0430\u043c\u043e\u0440\u0442\u0438\u0437\u0430\u0446\u0456\u044e) \u0442\u0430 \u0436\u0438\u0432\u0438\u043b\u044c\u043d\u043e\u0457 \u043f\u0456\u0434\u0442\u0440\u0438\u043c\u043a\u0438 \u0445\u0440\u044f\u0449\u0430 (\u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0430 \u043a\u0456\u0441\u0442\u043a\u0430 \u043c\u0456\u0441\u0442\u0438\u0442\u044c \u0441\u0443\u0434\u0438\u043d\u0438, \u044f\u043a\u0456 \u0431\u0435\u0437\u043f\u043e\u0441\u0435\u0440\u0435\u0434\u043d\u044c\u043e \u0432\u0437\u0430\u0454\u043c\u043e\u0434\u0456\u044e\u0442\u044c \u0437 \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u043c \u0445\u0440\u044f\u0449\u043e\u0432\u0438\u043c \u0448\u0430\u0440\u043e\u043c)<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup>. \u041f\u0435\u0440\u0444\u0443\u0437\u0456\u0439\u043d\u0438\u0439 \u043c\u0435\u0445\u0430\u043d\u0456\u0437\u043c \u0441\u0443\u0434\u0438\u043d \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438 \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u0434\u0430\u0454 \u0437\u0430 \u0440\u043e\u0437\u043f\u043e\u0434\u0456\u043b 50% \u043f\u043e\u0436\u0438\u0432\u043d\u0438\u0445 \u0440\u0435\u0447\u043e\u0432\u0438\u043d \u0434\u043e \u0445\u0440\u044f\u0449\u0430.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<p><b>\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f (\u041e\u0425\u0423) <\/b> &#8211; \u0446\u0435 \u0434\u0435\u0444\u0435\u043a\u0442\u0438, \u0449\u043e \u0432\u043f\u043b\u0438\u0432\u0430\u044e\u0442\u044c \u043d\u0430 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440\u0443 \u0445\u0440\u044f\u0449\u043e\u0432\u043e\u0457 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u0456 \u0442\u0430 \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438, \u0449\u043e \u043b\u0435\u0436\u0438\u0442\u044c \u043f\u0456\u0434 \u043d\u0435\u044e. \u041a\u043e\u043b\u0438 \u043f\u043e\u0447\u0438\u043d\u0430\u0454\u0442\u044c\u0441\u044f \u0444\u0430\u0437\u0430 \u0437\u0430\u0433\u043e\u0454\u043d\u043d\u044f \u0443\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u043d\u044f \u0456 \u0444\u043e\u0440\u043c\u0443\u0454\u0442\u044c\u0441\u044f \u0442\u043a\u0430\u043d\u0438\u043d\u0430, \u043d\u043e\u0432\u0430 \u0442\u043a\u0430\u043d\u0438\u043d\u0430 \u0447\u0430\u0441\u0442\u043e \u0454 \u0444\u0456\u0431\u0440\u043e\u0445\u0440\u044f\u0449\u0435\u043c. \u041e\u0434\u043d\u0430\u043a \u0446\u0435\u0439 \u0442\u0438\u043f \u0445\u0440\u044f\u0449\u0430 \u043c\u0430\u0454 \u043c\u0435\u0445\u0430\u043d\u0456\u0447\u043d\u0456 \u043d\u0435\u0434\u043e\u043b\u0456\u043a\u0438 \u043f\u043e\u0440\u0456\u0432\u043d\u044f\u043d\u043e \u0437 \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u043c \u0445\u0440\u044f\u0449\u0435\u043c. \u0423 \u0434\u0435\u044f\u043a\u0438\u0445 \u0432\u0438\u043f\u0430\u0434\u043a\u0430\u0445 \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u0439 \u0445\u0440\u044f\u0449 \u0443\u0442\u0432\u043e\u0440\u044e\u0454\u0442\u044c\u0441\u044f \u0432 \u043f\u0440\u043e\u0446\u0435\u0441\u0456 \u0440\u0435\u043f\u0430\u0440\u0430\u0446\u0456\u0457, \u0430\u043b\u0435 \u043c\u0435\u0445\u0430\u043d\u0456\u0437\u043c \u0443\u0442\u0432\u043e\u0440\u0435\u043d\u043d\u044f \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u043e\u0433\u043e \u0445\u0440\u044f\u0449\u0430 \u043f\u043e\u0440\u0456\u0432\u043d\u044f\u043d\u043e \u0437 \u0444\u0456\u0431\u0440\u043e\u0445\u0440\u044f\u0449\u0435\u043c \u043d\u0435\u0432\u0456\u0434\u043e\u043c\u0438\u0439.<sup id=\"cite_ref-:3_1-7\" class=\"reference\"><a href=\"#cite_note-:3-1\">(1)<\/a><\/sup><\/p>\n<h2><span id=\"Healing_of_Osteochondral_Lesions\" class=\"mw-headline\">\u0417\u0430\u0433\u043e\u0454\u043d\u043d\u044f <b>\u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Healing of Osteochondral Lesions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Healing of Osteochondral Lesions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 \u043f\u043e\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u043d\u044f (\u041e\u0425\u0423) \u043c\u0430\u044e\u0442\u044c \u043f\u043e\u0433\u0430\u043d\u0443 \u0437\u0434\u0430\u0442\u043d\u0456\u0441\u0442\u044c \u0434\u043e \u0437\u0430\u0433\u043e\u0454\u043d\u043d\u044f.<sup id=\"cite_ref-:4_6-0\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup> \u0414\u043e\u0441\u043b\u0456\u0434\u0436\u0435\u043d\u043d\u044f, \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0435 \u043d\u0430 \u0442\u0432\u0430\u0440\u0438\u043d\u0430\u0445,<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> \u0434\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0443\u0454, \u0449\u043e \u041e\u0425\u0423 \u043f\u0440\u043e\u0445\u043e\u0434\u044f\u0442\u044c \u043d\u0430\u0441\u0442\u0443\u043f\u043d\u0456 \u0441\u0442\u0430\u0434\u0456\u0457 \u0437\u0430\u0433\u043e\u0454\u043d\u043d\u044f:<sup id=\"cite_ref-:4_6-1\" class=\"reference\"><a href=\"#cite_note-:4-6\">(6)<\/a><\/sup><\/p>\n<ul>\n<li>1-2 \u0442\u0438\u0436\u0434\u0435\u043d\u044c: \u041f\u043e\u0447\u0430\u0442\u043a\u043e\u0432\u0430 \u0440\u0435\u043f\u0430\u0440\u0430\u0446\u0456\u044f \u0444\u0456\u0431\u0440\u0438\u043d\u0443 &#8211; \u043f\u043e\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u0435 \u043c\u0456\u0441\u0446\u0435 \u043f\u043e\u0447\u0438\u043d\u0430\u0454 \u0437\u0430\u043f\u043e\u0432\u043d\u044e\u0432\u0430\u0442\u0438\u0441\u044f \u0437\u0433\u0443\u0441\u0442\u043a\u043e\u043c \u043a\u0440\u043e\u0432\u0456 \u0442\u0430 \u0444\u0456\u0431\u0440\u043e\u0437\u043d\u043e\u044e \u0442\u043a\u0430\u043d\u0438\u043d\u043e\u044e, \u043f\u043e\u0447\u0438\u043d\u0430\u0454\u0442\u044c\u0441\u044f \u0440\u0435\u043a\u0440\u0443\u0442\u0443\u0432\u0430\u043d\u043d\u044f \u043c\u0435\u0437\u0435\u043d\u0445\u0456\u043c\u0430\u043b\u044c\u043d\u0438\u0445 \u043a\u043b\u0456\u0442\u0438\u043d<\/li>\n<li>4-8 \u0442\u0438\u0436\u0434\u0435\u043d\u044c: \u041f\u043e\u0447\u0438\u043d\u0430\u0454\u0442\u044c\u0441\u044f \u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044f \u0445\u0440\u044f\u0449\u0430 \u043f\u043e\u0440\u0443\u0447 \u0437 \u043f\u043e\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u0438\u043c \u0445\u0440\u044f\u0449\u0435\u043c<\/li>\n<li>8-12 \u0442\u0438\u0436\u0434\u0435\u043d\u044c: \u041f\u043e\u0447\u0438\u043d\u0430\u0454\u0442\u044c\u0441\u044f \u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044f \u043a\u0456\u0441\u0442\u043e\u043a \u0448\u043b\u044f\u0445\u043e\u043c \u0435\u043d\u0434\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043e\u043a\u043e\u0441\u0442\u0435\u043d\u0456\u043d\u043d\u044f<\/li>\n<li>18-\u0439 \u0442\u0438\u0436\u0434\u0435\u043d\u044c: \u043f\u0440\u043e\u0434\u043e\u0432\u0436\u0443\u0454\u0442\u044c\u0441\u044f \u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044f \u043d\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438<\/li>\n<li>26-\u0439 \u0442\u0438\u0436\u0434\u0435\u043d\u044c: \u0437\u0430\u0432\u0435\u0440\u0448\u0435\u043d\u043d\u044f \u043f\u0440\u043e\u0446\u0435\u0441\u0443 \u0437\u0430\u0433\u043e\u0454\u043d\u043d\u044f<\/li>\n<\/ul>\n<h3><span id=\"Aetiology_of_Osteochondral_Lesions\" class=\"mw-headline\">\u0415\u0442\u0456\u043e\u043b\u043e\u0433\u0456\u044f <b>\u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology of Osteochondral Lesions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology of Osteochondral Lesions\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u043c\u043e\u0436\u0443\u0442\u044c \u0431\u0443\u0442\u0438 \u0441\u043f\u0440\u0438\u0447\u0438\u043d\u0435\u043d\u0456:<\/p>\n<ul>\n<li>\u0422\u0440\u0430\u0432\u043c\u0430 (80% \u0432\u0438\u043f\u0430\u0434\u043a\u0456\u0432) <sup id=\"cite_ref-:5_8-0\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li>\u0414\u0435\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044f \u0441\u0443\u0433\u043b\u043e\u0431\u0456\u0432<sup id=\"cite_ref-:0_9-0\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup><\/li>\n<li>\u0421\u043b\u0430\u0431\u043a\u0456\u0441\u0442\u044c <a title=\"\u0417\u0432'\u044f\u0437\u043a\u0438\" href=\"\/Ligament\">\u0437\u0432&#8217;\u044f\u0437\u043e\u043a<\/a> (38% \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432)<sup id=\"cite_ref-:5_8-1\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li>\u041d\u0435\u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u0456\u0441\u0442\u044c (39% \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432)<sup id=\"cite_ref-:5_8-2\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li><a title=\"Genetics and Health\" href=\"\/Genetics_and_Health\">\u0413\u0435\u043d\u0435\u0442\u0438\u0447\u043d\u0430 \u0441\u0445\u0438\u043b\u044c\u043d\u0456\u0441\u0442\u044c<\/a><sup id=\"cite_ref-:0_9-1\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup><\/li>\n<li><a class=\"mw-redirect\" title=\"Endocrine Disorders\" href=\"\/Endocrine_Disorders\">\u0415\u043d\u0434\u043e\u043a\u0440\u0438\u043d\u043d\u0456<\/a> \u0444\u0430\u043a\u0442\u043e\u0440\u0438<sup id=\"cite_ref-:5_8-3\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><sup id=\"cite_ref-:0_9-2\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup><\/li>\n<li><a title=\"Avascular Necrosis\" href=\"\/Avascular_Necrosis\">\u0410\u0432\u0430\u0441\u043a\u0443\u043b\u044f\u0440\u043d\u0438\u0439 \u043d\u0435\u043a\u0440\u043e\u0437<\/a><sup id=\"cite_ref-:0_9-3\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup><\/li>\n<li>\u041c\u0435\u0442\u0430\u0431\u043e\u043b\u0456\u0447\u043d\u0456 \u0444\u0430\u043a\u0442\u043e\u0440\u0438<sup id=\"cite_ref-:5_8-4\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<p>\u0422\u0440\u0438 \u0442\u0438\u043f\u0438 \u0442\u0440\u0430\u0432\u043c \u043f\u0440\u0438\u0437\u0432\u043e\u0434\u044f\u0442\u044c \u0434\u043e \u0440\u043e\u0437\u0432\u0438\u0442\u043a\u0443 \u041e\u0425\u0423: \u0441\u0442\u0438\u0441\u043d\u0435\u043d\u043d\u044f, \u0437\u0441\u0443\u0432 \u0430\u0431\u043e \u0440\u043e\u0437\u0440\u0438\u0432.<\/p>\n<h2><span id=\"Osteochondral_Lesions_of_the_Ankle\" class=\"mw-headline\">\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Osteochondral Lesions of the Ankle\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Osteochondral Lesions of the Ankle\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Osteochondral-injury-of-talus-staging-illustration.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Osteochondral-injury-of-talus-staging-illustration.png\/300px-Osteochondral-injury-of-talus-staging-illustration.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Osteochondral-injury-of-talus-staging-illustration.png\/450px-Osteochondral-injury-of-talus-staging-illustration.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ab\/Osteochondral-injury-of-talus-staging-illustration.png\/600px-Osteochondral-injury-of-talus-staging-illustration.png 2x\" alt=\"\" width=\"300\" height=\"300\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>\u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 \u0443\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u043f\u02bc\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438: \u0441\u0442\u0430\u0434\u0456\u0439\u043d\u0456\u0441\u0442\u044c<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>\u0417\u0430 \u0434\u0430\u043d\u0438\u043c\u0438 Ferkel et al.,<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> \u0443 \u0432\u0438\u0441\u043e\u043a\u043e\u0433\u043e \u0432\u0456\u0434\u0441\u043e\u0442\u043a\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432 \u0437 \u043b\u0430\u0442\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u044e <a title=\"\u0425\u0440\u043e\u043d\u0456\u0447\u043d\u0430 \u043d\u0435\u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u0456\u0441\u0442\u044c \u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0441\u0442\u043e\u043f\u043d\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430\" href=\"\/Chronic_Ankle_Instability\">\u043d\u0435\u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u0456\u0441\u0442\u044e \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<\/a> \u0440\u043e\u0437\u0432\u0438\u0432\u0430\u0454\u0442\u044c\u0441\u044f \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0441\u0443\u0433\u043b\u043e\u0431\u043e\u0432\u0430 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f. \u0423 <a title=\"Ankle and Foot\" href=\"\/Ankle_and_Foot\">\u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u043c\u0443 \u0441\u0443\u0433\u043b\u043e\u0431\u0456<\/a> \u041e\u0425\u0423 \u0432\u0438\u043d\u0438\u043a\u0430\u044e\u0442\u044c \u0443 <a title=\"\u041d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u0430 \u043a\u0456\u0441\u0442\u043a\u0430\" href=\"https:\/\/langs.physio-pedia.com\/uk\/talus-uk\/\">\u043d\u0430\u0434\u043f\u02bc\u044f\u0442\u043a\u043e\u0432\u0456\u0439 \u043a\u0456\u0441\u0442\u0446\u0456<\/a>. \u0423\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u0433\u043e \u0445\u0440\u044f\u0449\u0430 (\u041d\u0425) \u0442\u0430 \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438 \u043c\u043e\u0436\u0435 \u043f\u0440\u0438\u0437\u0432\u0435\u0441\u0442\u0438 \u0434\u043e \u0447\u0430\u0441\u0442\u043a\u043e\u0432\u043e\u0433\u043e \u0430\u0431\u043e \u043f\u043e\u0432\u043d\u043e\u0433\u043e \u0432\u0456\u0434\u0440\u0438\u0432\u0443 \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u0430. \u041e\u0425\u0423 \u043c\u043e\u0436\u0443\u0442\u044c \u0431\u0443\u0442\u0438 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u043e\u0432\u0430\u043d\u0456 \u044f\u043a:<\/p>\n<ul>\n<li>\u0425\u0440\u044f\u0449\u043e\u0432\u0456 (\u0442\u0456\u043b\u044c\u043a\u0438 \u0445\u0440\u044f\u0449\u043e\u0432\u0456)<\/li>\n<li>\u0425\u043e\u043d\u0434\u0440\u043e-\u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 (\u0445\u0440\u044f\u0449 \u0456 \u043a\u0456\u0441\u0442\u043a\u0430)<\/li>\n<li>\u0421\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0456 (\u043d\u0435\u0443\u0448\u043a\u043e\u0434\u0436\u0435\u043d\u0438\u0439 \u0445\u0440\u044f\u0449, \u0449\u043e \u043b\u0435\u0436\u0438\u0442\u044c \u0432\u0438\u0449\u0435)<\/li>\n<li>\u041a\u0456\u0441\u0442\u043e\u0437\u043d\u0456<\/li>\n<li>\u0421\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u0456 \u0430\u0431\u043e \u043d\u0435\u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u0456<\/li>\n<li>\u0411\u0435\u0437 \u0437\u043c\u0456\u0449\u0435\u043d\u043d\u044f \u0430\u0431\u043e \u0437\u0456 \u0437\u043c\u0456\u0449\u0435\u043d\u043d\u044f\u043c<\/li>\n<\/ul>\n<h3><span id=\"Classification_System_for_Osteochondral_Lesions_of_the_Talar_Cartilage\" class=\"mw-headline\">\u0421\u0438\u0441\u0442\u0435\u043c\u0430 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u0445\u0440\u044f\u0449\u0430 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Classification System for Osteochondral Lesions of the Talar Cartilage\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Classification System for Osteochondral Lesions of the Talar Cartilage\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>\u041d\u0430\u0441\u0442\u0443\u043f\u043d\u0456 \u0441\u0438\u0441\u0442\u0435\u043c\u0438 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u041e\u0425\u0423 \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u043e\u0432\u0443\u044e\u0442\u044c\u0441\u044f \u0432 \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u043c\u0443 \u0434\u043b\u044f \u0434\u043e\u0441\u043b\u0456\u0434\u0436\u0435\u043d\u044c. \u041a\u043b\u0456\u043d\u0456\u0447\u043d\u043e \u043d\u0430\u0439\u0431\u0456\u043b\u044c\u0448 \u0432\u0430\u0436\u043b\u0438\u0432\u0438\u043c\u0438 \u0447\u0438\u043d\u043d\u0438\u043a\u0430\u043c\u0438 \u0454 \u043b\u043e\u043a\u0430\u043b\u0456\u0437\u0430\u0446\u0456\u044f \u0442\u0430 \u0433\u043b\u0438\u0431\u0438\u043d\u0430 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f. \u0417\u0430\u0433\u0430\u043b\u043e\u043c, \u0447\u0438\u043c \u0431\u0456\u043b\u044c\u0448\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f, \u0442\u0438\u043c \u0431\u0456\u043b\u044c\u0448 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430\u0442\u0438\u0447\u043d\u0438\u043c \u0432\u043e\u043d\u043e \u0441\u0442\u0430\u0454.<sup id=\"cite_ref-:6_11-0\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>\u0421\u0438\u0441\u0442\u0435\u043c\u0430 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 Berndt \u0456 Harty<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup> \u0437\u0430\u043b\u0438\u0448\u0430\u0454\u0442\u044c\u0441\u044f \u0441\u0438\u0441\u0442\u0435\u043c\u043e\u044e, \u044f\u043a\u0430 \u043d\u0430\u0439\u0447\u0430\u0441\u0442\u0456\u0448\u0435 \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u043e\u0432\u0443\u0454\u0442\u044c\u0441\u044f \u0434\u043b\u044f \u0432\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u0441\u0442\u0430\u0434\u0456\u0439 \u041e\u0425\u0423 \u0437\u0430 \u0434\u043e\u043f\u043e\u043c\u043e\u0433\u043e\u044e \u0440\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u0433\u0440\u0430\u0444\u0456\u0447\u043d\u043e\u0457 \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438. \u0426\u044f \u0441\u0438\u0441\u0442\u0435\u043c\u0430 \u0432\u0438\u0433\u043b\u044f\u0434\u0430\u0454 \u043d\u0430\u0441\u0442\u0443\u043f\u043d\u0438\u043c \u0447\u0438\u043d\u043e\u043c:<sup id=\"cite_ref-:1_13-0\" class=\"reference\"><a href=\"#cite_note-:1-13\">(13)<\/a><\/sup>\n<ul>\n<li>\u0421\u0442\u0430\u0434\u0456\u044f \u0406: \u043f\u0440\u0438 \u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u0456 \u0456\u043d\u0432\u0435\u0440\u0441\u0456\u0457 \u0441\u0442\u043e\u043f\u0438, \u0431\u0456\u0447\u043d\u0430 \u043c\u0435\u0436\u0430 \u043f\u0440\u0438\u0442\u0438\u0441\u043d\u0443\u0442\u0430 \u0434\u043e \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u0456 \u043c\u0430\u043b\u043e\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438, \u0430 \u043a\u043e\u043b\u0430\u0442\u0435\u0440\u0430\u043b\u044c\u043d\u0430 \u0437\u0432&#8217;\u044f\u0437\u043a\u0430 \u0437\u0430\u043b\u0438\u0448\u0430\u0454\u0442\u044c\u0441\u044f \u0456\u043d\u0442\u0430\u043a\u0442\u043d\u043e\u044e<\/li>\n<li>\u0406\u0406 \u0441\u0442\u0430\u0434\u0456\u044f: \u043f\u0440\u0438 \u043d\u0430\u0440\u043e\u0441\u0442\u0430\u044e\u0447\u0456\u0439 \u0456\u043d\u0432\u0435\u0440\u0441\u0456\u0457 \u0441\u0442\u043e\u043f\u0438 \u0431\u0456\u0447\u043d\u0430 \u0437\u0432&#8217;\u044f\u0437\u043a\u0430 \u0440\u043e\u0437\u0440\u0438\u0432\u0430\u0454\u0442\u044c\u0441\u044f, \u0456 \u043f\u043e\u0447\u0438\u043d\u0430\u0454\u0442\u044c\u0441\u044f \u0432\u0456\u0434\u0440\u0438\u0432 \u0432\u0456\u0434\u043b\u0430\u043c\u043a\u0430<\/li>\n<li>III \u0441\u0442\u0430\u0434\u0456\u044f: \u0432\u0456\u0434\u043b\u0430\u043c\u043e\u043a \u043f\u043e\u0432\u043d\u0456\u0441\u0442\u044e \u0432\u0456\u0434\u0456\u0440\u0432\u0430\u043d\u0438\u0439, \u0430\u043b\u0435 \u0437\u0430\u043b\u0438\u0448\u0430\u0454\u0442\u044c\u0441\u044f \u043d\u0430 \u043c\u0456\u0441\u0446\u0456<\/li>\n<li>IV \u0441\u0442\u0430\u0434\u0456\u044f: \u043f\u0456\u0441\u043b\u044f \u0456\u043d\u0432\u0435\u0440\u0441\u0456\u0457 \u0432\u0456\u0434\u0431\u0443\u0432\u0430\u0454\u0442\u044c\u0441\u044f \u0437\u043c\u0456\u0449\u0435\u043d\u043d\u044f \u0432\u0456\u0434\u0456\u0440\u0432\u0430\u043d\u043e\u0433\u043e \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u0430<\/li>\n<\/ul>\n<\/li>\n<li>Loomer \u0442\u0430 \u0456\u043d.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup> \u0434\u043e\u0434\u0430\u043b\u0438 \u043f&#8217;\u044f\u0442\u0443 \u0441\u0442\u0430\u0434\u0456\u044e \u0434\u043e \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 Berndt \u0456 Harty:<sup id=\"cite_ref-:1_13-1\" class=\"reference\"><a href=\"#cite_note-:1-13\">(13)<\/a><\/sup>\n<ul>\n<li>\u0421\u0442\u0430\u0434\u0456\u0457 I -IV, \u044f\u043a \u0437\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u043e \u0432\u0438\u0449\u0435<\/li>\n<li>V \u0441\u0442\u0430\u0434\u0456\u044f: \u043d\u0430\u044f\u0432\u043d\u0456\u0441\u0442\u044c \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u043a\u0456\u0441\u0442\u0438<\/li>\n<\/ul>\n<\/li>\n<li>Ferkel \u0442\u0430 \u0456\u043d.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup> \u0440\u043e\u0437\u0440\u043e\u0431\u0438\u043b\u0438 \u0441\u0438\u0441\u0442\u0435\u043c\u0443 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0456 \u043a\u043e\u043c\u043f&#8217;\u044e\u0442\u0435\u0440\u043d\u043e\u0457 \u0442\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0456\u0457 (\u041a\u0422):<sup id=\"cite_ref-:2_16-0\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16)<\/a><\/sup>\n<ul>\n<li>\u0421\u0442\u0430\u0434\u0456\u044f \u0406: \u043a\u0456\u0441\u0442\u043e\u0437\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u0437 \u043a\u0443\u043f\u043e\u043b\u043e\u043c \u043d\u0430\u0434\u043f\u02bc\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438 (\u0434\u0430\u0445 \u0456\u043d\u0442\u0430\u043a\u0442\u043d\u0438\u0439)<\/li>\n<li>\u0421\u0442\u0430\u0434\u0456\u044f IIa: \u041a\u0456\u0441\u0442\u043e\u0437\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u0437\u0456 \u0441\u043f\u043e\u043b\u0443\u0447\u0435\u043d\u043d\u044f\u043c \u0437 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u0435\u044e \u043a\u0443\u043f\u043e\u043b\u0430 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438<\/li>\n<li>\u0421\u0442\u0430\u0434\u0456\u044f IIb: \u0412\u0456\u0434\u043a\u0440\u0438\u0442\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u0441\u0443\u0433\u043b\u043e\u0431\u043e\u0432\u043e\u0457 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u0456 \u0437 \u0440\u043e\u0437\u0442\u0430\u0448\u043e\u0432\u0430\u043d\u0438\u043c \u0437\u0432\u0435\u0440\u0445\u0443 \u043d\u0435\u0437\u043c\u0456\u0449\u0435\u043d\u0438\u043c \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442\u043e\u043c<\/li>\n<li>\u0421\u0442\u0430\u0434\u0456\u044f \u0406\u0406\u0406: \u041d\u0435\u0437\u043c\u0456\u0449\u0435\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u0437 \u043f\u0440\u043e\u0441\u0432\u0456\u0442\u043b\u0435\u043d\u043d\u044f\u043c<\/li>\n<li>IV \u0441\u0442\u0430\u0434\u0456\u044f: \u0437\u043c\u0456\u0449\u0435\u043d\u0438\u0439 \u0444\u0440\u0430\u0433\u043c\u0435\u043d\u0442<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Hepple \u0442\u0430 \u0456\u043d.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> \u0440\u043e\u0437\u0440\u043e\u0431\u0438\u043b\u0438 \u0441\u0438\u0441\u0442\u0435\u043c\u0443 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0456 \u043c\u0430\u0433\u043d\u0456\u0442\u043d\u043e-\u0440\u0435\u0437\u043e\u043d\u0430\u043d\u0441\u043d\u043e\u0457 \u0442\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0456\u0457 (\u041c\u0420\u0422).<sup id=\"cite_ref-:2_16-1\" class=\"reference\"><a href=\"#cite_note-:2-16\">(16)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 502px;\"><a class=\"image\" href=\"\/File:OCL_MRI_classification.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/OCL_MRI_classification.png\/500px-OCL_MRI_classification.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/OCL_MRI_classification.png\/750px-OCL_MRI_classification.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/OCL_MRI_classification.png\/1000px-OCL_MRI_classification.png 2x\" alt=\"\" width=\"500\" height=\"368\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><small>\u041a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u044f \u041e\u0425\u0423 \u0437\u0430 \u041c\u0420\u0422. \u0410\u0434\u0430\u043f\u0442\u043e\u0432\u0430\u043d\u043e \u0437 AA, Sesin C, Rosselli M. Osteochondral defects of the talus with a focus on platelet-rich plasma as a potential treatment option: a review. BMJ Open Sport Exerc Med. 2018 Feb 1;4(1):e000318.<\/small><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Clinical_Presentation\" class=\"mw-headline\">\u041a\u043b\u0456\u043d\u0456\u0447\u043d\u0456 \u043f\u0440\u043e\u044f\u0432\u0438 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=6\">\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=6\">\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438 \u0434\u0436\u0435\u0440\u0435\u043b\u043e<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u041f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u0437 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u043c \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f\u043c \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 \u0441\u043a\u0430\u0440\u0436\u0430\u0442\u044c\u0441\u044f \u043d\u0430 \u0431\u0456\u043b\u044c \u0433\u043b\u0438\u0431\u043e\u043a\u043e \u0443 \u0441\u0443\u0433\u043b\u043e\u0431\u0456, \u043f\u043e\u0432&#8217;\u044f\u0437\u0430\u043d\u0438\u0439 \u0437 \u043e\u043f\u043e\u0440\u043d\u0438\u043c \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f\u043c, \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u043d\u044f \u0430\u043c\u043f\u043b\u0456\u0442\u0443\u0434\u0438 \u0440\u0443\u0445\u0456\u0432, \u043f\u043e\u0440\u0443\u0448\u0435\u043d\u043d\u044f \u0444\u0443\u043d\u043a\u0446\u0456\u0457, \u0441\u043a\u0443\u0442\u0456\u0441\u0442\u044c, \u0432\u0456\u0434\u0447\u0443\u0442\u0442\u044f \u0437\u0430\u0449\u0435\u043c\u043b\u0435\u043d\u043d\u044f \u0442\u0430 \u0437\u0430\u043a\u043b\u0438\u043d\u044e\u0432\u0430\u043d\u043d\u044f. \u041a\u0440\u0456\u043c \u0442\u043e\u0433\u043e, \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u043c\u043e\u0436\u0435 \u0432\u0456\u0434\u0447\u0443\u0432\u0430\u0442\u0438 \u0431\u0456\u043b\u044c \u0456 \u043d\u0430\u0431\u0440\u044f\u043a\u043b\u0456\u0441\u0442\u044c \u043d\u0430\u0432\u043a\u043e\u043b\u043e \u043c\u0435\u0434\u0456\u0430\u043b\u044c\u043d\u043e\u0457 \u0442\u0430 \u043b\u0430\u0442\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u0434\u0456\u043b\u044f\u043d\u043e\u043a \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430.<sup id=\"cite_ref-:5_8-5\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup> \u041e\u0431\u0441\u0442\u0435\u0436\u0435\u043d\u043d\u044f \u0447\u0430\u0441\u0442\u043e \u0432\u0438\u044f\u0432\u043b\u044f\u0454 \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u043d\u044f \u0440\u0443\u0445\u043b\u0438\u0432\u043e\u0441\u0442\u0456 \u0432 \u043f\u0456\u0434\u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u043c\u0443 \u0456 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0447\u043e\u0432\u043d\u043e\u043f\u043e\u0434\u0456\u0431\u043d\u0438\u0445 \u0441\u0443\u0433\u043b\u043e\u0431\u0430\u0445, \u043f\u043e\u0440\u0443\u0448\u0435\u043d\u043d\u044f \u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u043e\u0441\u0442\u0456 \u0437\u0432&#8217;\u044f\u0437\u043a\u043e\u0432\u043e\u0433\u043e \u0430\u043f\u0430\u0440\u0430\u0442\u0443 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 \u0456 \u0432\u0456\u0434\u0445\u0438\u043b\u0435\u043d\u043d\u044f \u0437\u0430\u0434\u043d\u044c\u043e\u0433\u043e \u0432\u0456\u0434\u0434\u0456\u043b\u0443 \u0441\u0442\u043e\u043f\u0438.<sup id=\"cite_ref-:1_13-2\" class=\"reference\"><a href=\"#cite_note-:1-13\">(13)<\/a><\/sup> <sup id=\"cite_ref-:5_8-6\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/p>\n<h2><span id=\"Diagnostic_Procedures\" class=\"mw-headline\">\u041c\u0435\u0442\u043e\u0434\u0438 \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=7\">\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=7\">\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438 \u0434\u0436\u0435\u0440\u0435\u043b\u043e<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a title=\"X-Rays\" href=\"\/X-Rays\">\u0420\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u0433\u0440\u0430\u043c\u0430<\/a> &#8211; \u043f\u0435\u0440\u0435\u0434\u043d\u044c\u043e-\u0437\u0430\u0434\u043d\u044f \u0456 \u0431\u0456\u0447\u043d\u0430 \u043f\u0440\u043e\u0435\u043a\u0446\u0456\u0457, \u0432\u0438\u043a\u043e\u043d\u0430\u043d\u0456 \u0432 \u043f\u043e\u043b\u043e\u0436\u0435\u043d\u043d\u0456 \u0437 \u043e\u043f\u043e\u0440\u043d\u0438\u043c \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f\u043c<sup id=\"cite_ref-:5_8-7\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li><a title=\"MRI Scans\" href=\"\/MRI_Scans\">\u041c\u0420\u0422<\/a> \u0444\u0456\u043a\u0441\u0443\u0454 \u0446\u0456\u043b\u0456\u0441\u043d\u0456\u0441\u0442\u044c \u043c&#8217;\u044f\u043a\u0438\u0445 \u0442\u043a\u0430\u043d\u0438\u043d \u0442\u0430 \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0457 \u0433\u0443\u0431\u0447\u0430\u0441\u0442\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li><a title=\"CT Scans\" href=\"\/CT_Scans\">\u041a\u0422<\/a> \u043f\u0440\u043e\u043f\u043e\u043d\u0443\u0454 \u043a\u0440\u0430\u0449\u0443 \u0440\u043e\u0437\u0434\u0456\u043b\u044c\u043d\u0443 \u0437\u0434\u0430\u0442\u043d\u0456\u0441\u0442\u044c \u0434\u043b\u044f \u0432\u0438\u044f\u0432\u043b\u0435\u043d\u043d\u044f \u043a\u0456\u0441\u0442\u043a\u043e\u0432\u0438\u0445 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0439, \u0430\u043b\u0435 \u043d\u0430\u0434\u0430\u0454 \u043c\u0435\u043d\u0448\u0435 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u0457 \u043f\u0440\u043e \u043c&#8217;\u044f\u043a\u0456 \u0442\u043a\u0430\u043d\u0438\u043d\u0438 \u0442\u0430 \u0437\u0442\u043e\u043d\u0448\u0435\u043d\u043d\u044f \u0445\u0440\u044f\u0449\u0430 \u0441\u0443\u0433\u043b\u043e\u0431\u0430<sup id=\"cite_ref-:5_8-8\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li>\u041e\u0434\u043d\u043e\u0444\u043e\u0442\u043e\u043d\u043d\u0430 \u0435\u043c\u0456\u0441\u0456\u0439\u043d\u0430 \u041a\u0422 (Single-photon emission computed tomography, SPECT) \u043c\u043e\u0436\u0435 \u043d\u0430\u0434\u0430\u0432\u0430\u0442\u0438 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e \u044f\u043a \u0437 \u041c\u0420\u0422, \u0442\u0430\u043a \u0456 \u0437 \u041a\u0422; \u0432\u0430\u0436\u043b\u0438\u0432\u043e \u0432\u0440\u0430\u0445\u043e\u0432\u0443\u0432\u0430\u0442\u0438 \u043a\u0456\u043b\u044c\u043a\u0456\u0441\u0442\u044c \u043e\u043f\u0440\u043e\u043c\u0456\u043d\u0435\u043d\u043d\u044f, \u044f\u043a\u043e\u043c\u0443 \u043f\u0456\u0434\u0434\u0430\u0454\u0442\u044c\u0441\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u043f\u0456\u0434 \u0447\u0430\u0441 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u043d\u044f SPECT \u041a\u0422<sup id=\"cite_ref-:5_8-9\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<li>\u0410\u0440\u0442\u0440\u043e\u0441\u043a\u043e\u043f\u0456\u044f \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 \u0434\u043e\u0437\u0432\u043e\u043b\u044f\u0454 \u0431\u0435\u0437\u043f\u043e\u0441\u0435\u0440\u0435\u0434\u043d\u044c\u043e \u0432\u0456\u0437\u0443\u0430\u043b\u0456\u0437\u0443\u0432\u0430\u0442\u0438 \u0432\u0435\u0441\u044c \u0441\u0443\u0433\u043b\u043e\u0431<sup id=\"cite_ref-:5_8-10\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Outcome_Measures\" class=\"mw-headline\">\u041a\u0440\u0438\u0442\u0435\u0440\u0456\u0457 \u043e\u0446\u0456\u043d\u044e\u0432\u0430\u043d\u043d\u044f \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456\u0432<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=8\">\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=8\">\u0432\u0456\u0434\u0440\u0435\u0434\u0430\u0433\u0443\u0432\u0430\u0442\u0438 \u0434\u0436\u0435\u0440\u0435\u043b\u043e<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>\u0424\u0443\u043d\u043a\u0446\u0456\u043e\u043d\u0430\u043b\u044c\u043d\u0430 \u0448\u043a\u0430\u043b\u0430 \u0434\u043b\u044f \u043d\u0438\u0436\u043d\u0456\u0445 \u043a\u0456\u043d\u0446\u0456\u0432\u043e\u043a (<a title=\"\u0424\u0443\u043d\u043a\u0446\u0456\u043e\u043d\u0430\u043b\u044c\u043d\u0430 \u0448\u043a\u0430\u043b\u0430 \u043d\u0438\u0436\u043d\u0456\u0445 \u043a\u0456\u043d\u0446\u0456\u0432\u043e\u043a (LEFS)\" href=\"\/Lower_Extremity_Functional_Scale_(LEFS)\">Lower Extremity Functional Scale<\/a>, LEFS)<\/li>\n<li>\u0412\u0438\u043c\u0456\u0440\u044e\u0432\u0430\u043d\u043d\u044f \u0441\u043f\u0440\u043e\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0456 \u0441\u0442\u043e\u043f\u0438 \u0442\u0430 \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 (<a title=\"\u0412\u0438\u043c\u0456\u0440\u044e\u0432\u0430\u043d\u043d\u044f \u0444\u0443\u043d\u043a\u0446\u0456\u0457 \u0441\u0442\u043e\u043f\u0438 \u0442\u0430 \u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0441\u0442\u043e\u043f\u043d\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430\" href=\"\/Foot_and_Ankle_Ability_Measure\">Foot and Ankle Ability Measure<\/a>, FAAM)<\/li>\n<li>\u0406\u043d\u0434\u0435\u043a\u0441 \u043e\u0446\u0456\u043d\u044e\u0432\u0430\u043d\u043d\u044f \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u043d\u044f \u0436\u0438\u0442\u0442\u0454\u0434\u0456\u044f\u043b\u044c\u043d\u043e\u0441\u0442\u0456 \u043f\u043e\u0432\u02bc\u044f\u0437\u0430\u043d\u043e\u0433\u043e \u0437\u0456 \u0441\u0442\u043e\u043f\u043e\u044e \u0442\u0430 \u043d\u0430\u0434\u043f\u02bc\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u0438\u043c \u0441\u0443\u0433\u043b\u043e\u0431\u043e\u043c (<a class=\"external text\" href=\"http:\/\/www.orthoscores.com\/scorepages\/foot_and_ankle_disability_index_fadi.html\" rel=\"nofollow\">The Foot &amp; Ankle Disability Index Score<\/a>, FADI)<\/li>\n<li>\u0406\u043d\u0434\u0435\u043a\u0441 \u0444\u0443\u043d\u043a\u0446\u0456\u0457 \u0441\u0442\u043e\u043f\u0438 (<a title=\"Foot Function Index (FFI)\" href=\"\/Foot_Function_Index_(FFI)\">Foot Function Index<\/a>, FFI)<\/li>\n<\/ul>\n<h2><span id=\"Comprehensive_Rehabilitation\" class=\"mw-headline\">\u041a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u043d\u0430 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u044f<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Comprehensive Rehabilitation\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Comprehensive Rehabilitation\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"General_principles_in_rehabilitation_management\" class=\"mw-headline\">\u0417\u0430\u0433\u0430\u043b\u044c\u043d\u0456 \u043f\u0440\u0438\u043d\u0446\u0438\u043f\u0438 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u0439\u043d\u043e\u0433\u043e \u043c\u0435\u043d\u0435\u0434\u0436\u043c\u0435\u043d\u0442\u0443<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: General principles in rehabilitation management\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=10\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: General principles in rehabilitation management\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=10\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>\u042f\u043a\u0456\u0441\u043d\u0438\u0445 \u0434\u043e\u043a\u0430\u0437\u0456\u0432 \u0449\u043e\u0434\u043e \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u043e\u0433\u043e \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u0443 \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 \u0431\u0440\u0430\u043a\u0443\u0454.<sup id=\"cite_ref-:6_11-1\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup> \u0422\u043e\u043c\u0443 \u043f\u0456\u0434 \u0447\u0430\u0441 \u0432\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f \u0446\u0456\u043b\u0435\u0439, \u043f\u043b\u0430\u043d\u0443\u0432\u0430\u043d\u043d\u044f \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u0442\u0430 \u0432\u0438\u0431\u043e\u0440\u0443 \u0432\u0442\u0440\u0443\u0447\u0430\u043d\u044c \u043a\u043b\u0456\u043d\u0456\u0446\u0438\u0441\u0442 \u043f\u043e\u0432\u0438\u043d\u0435\u043d \u0432\u0440\u0430\u0445\u043e\u0432\u0443\u0432\u0430\u0442\u0438 \u0431\u0456\u043e\u043b\u043e\u0433\u0456\u0447\u043d\u0456 \u0444\u0430\u0437\u0438 \u0437\u0430\u0433\u043e\u0454\u043d\u043d\u044f. \u0420\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u044f \u0442\u0430\u043a\u043e\u0436 \u0437\u0430\u043b\u0435\u0436\u0430\u0442\u0438\u043c\u0435 \u0432\u0456\u0434 \u0440\u043e\u0437\u043c\u0456\u0440\u0443 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u0442\u0430 \u0439\u043e\u0433\u043e \u043b\u043e\u043a\u0430\u043b\u0456\u0437\u0430\u0446\u0456\u0457. \u0417\u0430\u0433\u0430\u043b\u043e\u043c, \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u0430 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u0457 \u043f\u043e\u0432\u0438\u043d\u043d\u0430:<sup id=\"cite_ref-:6_11-2\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p>\n<ul>\n<li>\u0411\u0443\u0442\u0438 \u043a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u043d\u043e\u044e \u0456 \u0432\u043a\u043b\u044e\u0447\u0430\u0442\u0438 \u043c\u0443\u043b\u044c\u0442\u0438\u043c\u043e\u0434\u0430\u043b\u044c\u043d\u0456 \u0444\u0443\u043d\u043a\u0446\u0456\u043e\u043d\u0430\u043b\u044c\u043d\u0456 \u0442\u0440\u0435\u043d\u0443\u0432\u0430\u043d\u043d\u044f<\/li>\n<li>\u041f\u0435\u0440\u0435\u0434\u0431\u0430\u0447\u0430\u0442\u0438 \u0449\u043e\u043d\u0430\u0439\u043c\u0435\u043d\u0448\u0435 \u0448\u0456\u0441\u0442\u044c \u0442\u0438\u0436\u043d\u0456\u0432 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u0457 \u043f\u0456\u0434 \u043d\u0430\u0433\u043b\u044f\u0434\u043e\u043c \u0444\u0430\u0445\u0456\u0432\u0446\u044f<\/li>\n<li>\u0421\u043f\u0440\u044f\u043c\u043e\u0432\u0430\u043d\u0430 \u043d\u0430 \u0432\u0456\u0434\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f \u043f\u043e\u0441\u0442\u0443\u0440\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044e, <a title=\"Balance Training\" href=\"\/Balance_Training\">\u0440\u0456\u0432\u043d\u043e\u0432\u0430\u0433\u0438<\/a> \u0442\u0430 <a title=\"\u041f\u0440\u043e\u043f\u0440\u0456\u043e\u0446\u0435\u043f\u0446\u0456\u044f\" href=\"\/Proprioception\">\u043f\u0440\u043e\u043f\u0440\u0456\u043e\u0446\u0435\u043f\u0446\u0456\u0457<\/a><\/li>\n<li>\u0412\u043a\u043b\u044e\u0447\u0430\u0442\u0438 \u0432\u0435\u0441\u044c <a title=\"Kinetic Chain\" href=\"\/Kinetic_Chain\">\u043a\u0456\u043d\u0435\u0442\u0438\u0447\u043d\u0438\u0439 \u043b\u0430\u043d\u0446\u044e\u0433<\/a> \u0434\u043b\u044f \u043f\u043e\u043b\u0456\u043f\u0448\u0435\u043d\u043d\u044f \u0437\u0430\u0433\u0430\u043b\u044c\u043d\u043e\u0457 <a title=\"Strength Training\" href=\"\/Strength_Training\">\u0441\u0438\u043b\u0438<\/a><\/li>\n<li>\u041e\u0445\u043e\u043f\u043b\u044e\u0432\u0430\u0442\u0438 \u0432\u043f\u0440\u0430\u0432\u0438 \u0434\u043b\u044f \u043f\u0456\u0434\u0442\u0440\u0438\u043c\u0430\u043d\u043d\u044f <a title=\"\u0410\u043c\u043f\u043b\u0456\u0442\u0443\u0434\u0430 \u0440\u0443\u0445\u0456\u0432\" href=\"\/Range_of_Motion\">\u0430\u043c\u043f\u043b\u0456\u0442\u0443\u0434\u0438 \u0440\u0443\u0445\u0456\u0432<\/a><\/li>\n<li>\u0412\u043a\u043b\u044e\u0447\u0438\u0442\u0438 \u0437\u0430\u0441\u043e\u0431\u0438 \u0434\u043b\u044f \u0437\u0430\u0445\u0438\u0441\u0442\u0443 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430, \u043d\u0430\u043f\u0440\u0438\u043a\u043b\u0430\u0434, \u043d\u043e\u0441\u0456\u043d\u043d\u044f \u043e\u0440\u0442\u0435\u0437\u0430 \u0437\u0456 \u0448\u043d\u0443\u0440\u0456\u0432\u043a\u043e\u044e (lace-up brace)<\/li>\n<li>\u041f\u0440\u043e\u0434\u043e\u0432\u0436\u0443\u0432\u0430\u0442\u0438 \u0441\u043f\u043e\u0441\u0442\u0435\u0440\u0456\u0433\u0430\u0442\u0438 \u0437\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c \u0443 \u0432\u0438\u043f\u0430\u0434\u043a\u0443 \u0431\u0435\u0437\u043f\u0440\u0438\u0447\u0438\u043d\u043d\u043e\u0433\u043e \u043f\u043e\u0441\u0438\u043b\u0435\u043d\u043d\u044f \u0431\u043e\u043b\u044e \u0434\u043e 2 \u0440\u043e\u043a\u0456\u0432<\/li>\n<\/ul>\n<h3><span id=\"Special_Concerns\" class=\"mw-headline\">\u041e\u0441\u043e\u0431\u043b\u0438\u0432\u0456 \u043f\u0438\u0442\u0430\u043d\u043d\u044f, \u0449\u043e \u043f\u043e\u0442\u0440\u0435\u0431\u0443\u044e\u0442\u044c \u0443\u0432\u0430\u0433\u0438<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Special Concerns\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Special Concerns\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>\u041f\u0456\u0434 \u0447\u0430\u0441 \u043c\u0435\u043d\u0435\u0434\u0436\u043c\u0435\u043d\u0442\u0443 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 \u0432\u0430\u0436\u043b\u0438\u0432\u043e \u0437\u0430\u0441\u0442\u043e\u0441\u043e\u0432\u0443\u0432\u0430\u0442\u0438 \u0442\u0430\u043a\u0456 \u0440\u0435\u0430\u0431\u0456\u043b\u0456\u0442\u0430\u0446\u0456\u0439\u043d\u0456 \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0456\u0457:<sup id=\"cite_ref-:6_11-3\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p>\n<ol>\n<li><b>\u0423\u043d\u0438\u043a\u0430\u0439\u0442\u0435 \u0441\u0438\u043b \u0437\u0441\u0443\u0432\u0443 (shear forces)<\/b><\/li>\n<li><b>\u0423\u043d\u0438\u043a\u0430\u0439\u0442\u0435 \u0441\u0438\u043b \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0456\u0457\/ \u0441\u0442\u0438\u0441\u043a\u0430\u043d\u043d\u044f (compressive forces)<\/b><\/li>\n<li><b>\u0421\u043b\u0456\u0434 \u0434\u043e\u0442\u0440\u0438\u043c\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u0430\u0434\u0435\u043a\u0432\u0430\u0442\u043d\u043e\u0433\u043e \u0442\u0435\u043c\u043f\u0443 \u0432\u0438\u043a\u043e\u043d\u0430\u043d\u043d\u044f \u0432\u043f\u0440\u0430\u0432 \u0437 \u043e\u0433\u043b\u044f\u0434\u0443 \u043d\u0430 \u043f\u043e\u0432\u0456\u043b\u044c\u043d\u0435 \u0432\u0456\u0434\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f<\/b><\/li>\n<li><b>\u041a\u043e\u043d\u0442\u0440\u043e\u043b\u044e\u0432\u0430\u0442\u0438 \u0431\u0456\u043b\u044c<\/b><\/li>\n<li><b>\u0417\u0430\u043f\u043e\u0431\u0456\u0433\u0430\u0442\u0438 \u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044e \u043a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0442\u043e\u0440\u043d\u0438\u0445 \u0440\u0443\u0445\u0456\u0432<\/b><\/li>\n<\/ol>\n<h4><span id=\"Shear_forces\" class=\"mw-headline\">\u0421\u0438\u043b\u0438 \u0437\u0441\u0443\u0432\u0443<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Shear forces\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=12\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Shear forces\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=12\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u0421\u0438\u043b\u0438 \u0437\u0441\u0443\u0432\u0443 \u0447\u0430\u0441\u0442\u043e \u0454 \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u044e \u043f\u0440\u0438\u0447\u0438\u043d\u043e\u044e \u0432\u0438\u043d\u0438\u043a\u043d\u0435\u043d\u043d\u044f \u041e\u0425\u0423 \u043f\u0440\u0438 \u0445\u0440\u043e\u043d\u0456\u0447\u043d\u0456\u0439 \u043d\u0435\u0441\u0442\u0430\u0431\u0456\u043b\u044c\u043d\u043e\u0441\u0442\u0456 \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430.<\/p>\n<blockquote><p>\u0423\u043d\u0438\u043a\u0430\u0439\u0442\u0435 \u0441\u0438\u043b \u0437\u0441\u0443\u0432\u0443 \u043f\u0440\u043e\u0442\u044f\u0433\u043e\u043c \u0431\u0456\u043b\u044c\u0448\u0435 \u0442\u0440\u044c\u043e\u0445 \u043c\u0456\u0441\u044f\u0446\u0456\u0432.<sup id=\"cite_ref-:6_11-4\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<h4><span id=\"Compressive_forces\" class=\"mw-headline\">\u0421\u0438\u043b\u0438 \u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0456\u0457 (\u0441\u0442\u0438\u0441\u043a\u0430\u043d\u043d\u044f)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Compressive forces\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Compressive forces\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u0424\u0456\u0431\u0440\u043e\u0437\u043d\u0438\u0439 \u0445\u0440\u044f\u0449 \u043d\u0435 \u0442\u0430\u043a\u0438\u0439 \u043c\u0456\u0446\u043d\u0438\u0439, \u044f\u043a \u0433\u0456\u0430\u043b\u0456\u043d\u043e\u0432\u0438\u0439.<\/p>\n<blockquote><p>\u0417 \u0443\u0440\u0430\u0445\u0443\u0432\u0430\u043d\u043d\u044f\u043c \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u0438\u0445 \u043a\u043b\u0456\u043d\u0456\u0447\u043d\u0438\u0445 \u0447\u0438\u043d\u043d\u0438\u043a\u0456\u0432 \u0432\u0456\u0434\u0442\u0435\u0440\u043c\u0456\u043d\u0443\u0439\u0442\u0435 \u043f\u043e\u0432\u043d\u0435 <a title=\"Weight bearing\" href=\"\/Weight_bearing\">\u043e\u043f\u043e\u0440\u043d\u0435 \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f<\/a> \u0449\u043e\u043d\u0430\u0439\u043c\u0435\u043d\u0448\u0435 \u043d\u0430 \u0448\u0456\u0441\u0442\u044c \u0442\u0438\u0436\u043d\u0456\u0432.<sup id=\"cite_ref-:6_11-5\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<h4><span id=\"Slow_Recovery\" class=\"mw-headline\">\u041f\u043e\u0432\u0456\u043b\u044c\u043d\u0435 \u0432\u0456\u0434\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Slow Recovery\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Slow Recovery\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u0414\u043b\u044f \u0432\u0456\u0434\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044f \u0445\u0440\u044f\u0449\u0430 \u043f\u043e\u0442\u0440\u0456\u0431\u0435\u043d \u0447\u0430\u0441.<\/p>\n<blockquote><p>\u041d\u0435 \u043f\u043e\u0441\u043f\u0456\u0448\u0430\u0439\u0442\u0435 \u0437 \u043a\u0440\u043e\u043a\u0430\u043c\u0438 1 \u0456 2 \u0456 \u043f\u0456\u0434\u0442\u0440\u0438\u043c\u0443\u0439\u0442\u0435 \u0447\u0430\u0441\u0442\u043a\u043e\u0432\u0435 \u043e\u043f\u043e\u0440\u043d\u0435 \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f.<sup id=\"cite_ref-:6_11-6\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<h4><span id=\"Monitor_pain\" class=\"mw-headline\">\u041a\u043e\u043d\u0442\u0440\u043e\u043b\u044c \u0431\u043e\u043b\u044e<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Monitor pain\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Monitor pain\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<blockquote><p>\u0406\u043d\u0434\u0438\u0432\u0456\u0434\u0443\u0430\u043b\u0456\u0437\u0443\u0439\u0442\u0435 \u0442\u0435\u0440\u0430\u043f\u0456\u044e \u0442\u0430 \u0432\u0440\u0430\u0445\u043e\u0432\u0443\u0439\u0442\u0435 <a title=\"Pain Assessment\" href=\"\/Pain_Assessment\">\u0431\u0456\u043b\u044c<\/a> \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430.<sup id=\"cite_ref-:6_11-7\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<h4><span id=\"Compensatory_movements\" class=\"mw-headline\">\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0442\u043e\u0440\u043d\u0456 \u0440\u0443\u0445\u0438<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Compensatory movements\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Compensatory movements\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<blockquote><p>\u0412\u0438\u043f\u0440\u0430\u0432\u043b\u044f\u0439\u0442\u0435 \u043d\u0435\u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0456 \u0440\u0443\u0445\u043e\u0432\u0456 \u043f\u0430\u0442\u0435\u0440\u043d\u0438 (\u043c\u043e\u0434\u0435\u043b\u0456 \u0440\u0443\u0445\u0443)<sup id=\"cite_ref-:6_11-8\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/p><\/blockquote>\n<h3><span id=\"Ankle_Osteochondral_Lesions_Treatment_Strategies(11)\"><\/span><span id=\"Ankle_Osteochondral_Lesions_Treatment_Strategies.5B11.5D\" class=\"mw-headline\">\u0421\u0442\u0440\u0430\u0442\u0435\u0433\u0456\u0457 \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<sup id=\"cite_ref-:6_11-9\" class=\"reference\"><a href=\"#cite_note-:6-11\">(11)<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ankle Osteochondral Lesions Treatment Strategies(11)\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ankle Osteochondral Lesions Treatment Strategies(11)\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Stage_1\" class=\"mw-headline\">\u0415\u0442\u0430\u043f 1<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Stage 1\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=18\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Stage 1\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=18\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\u041f\u043e\u0432\u043e\u0434\u044c\u0442\u0435\u0441\u044f \u041b\u0415\u0413\u041a\u041e<\/li>\n<li>\u0412\u0438\u043a\u043e\u043d\u0443\u0439\u0442\u0435 \u0440\u0443\u0445\u0438 \u0443 \u043d\u0430\u0434\u043f&#8217;\u044f\u0441\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u0456\u0439 \u0434\u0456\u043b\u044f\u043d\u0446\u0456, \u0430\u043b\u0435 \u041d\u0415 \u043f\u0456\u0434\u0434\u0430\u0432\u0430\u0439\u0442\u0435 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href=\"\/File:OCL_stage_1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/OCL_stage_1.png\/250px-OCL_stage_1.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/OCL_stage_1.png\/375px-OCL_stage_1.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/4f\/OCL_stage_1.png\/500px-OCL_stage_1.png 2x\" alt=\"\" width=\"250\" height=\"80\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>\u041e\u0431\u0435\u0440\u0435\u0436\u043d\u0456 \u0432\u043f\u0440\u0430\u0432\u0438 \u0434\u043b\u044f \u0434\u043e\u0440\u0441\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0442\u0430 \u043f\u043b\u0430\u043d\u0442\u0430\u0440\u043d\u043e\u0433\u043e \u0437\u0433\u0438\u043d\u0430\u043d\u043d\u044f \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 134px auto;\"><a class=\"image\" href=\"\/File:OCL.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/OCL.png\/250px-OCL.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/OCL.png\/375px-OCL.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/00\/OCL.png\/500px-OCL.png 2x\" alt=\"\" width=\"250\" height=\"112\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>\u0412\u043f\u0440\u0430\u0432\u0438 \u0434\u043b\u044f \u043d\u0438\u0436\u043d\u0456\u0445 \u043a\u0456\u043d\u0446\u0456\u0432\u043e\u043a \u0437 \u0447\u0430\u0441\u0442\u043a\u043e\u0432\u0438\u043c \u043e\u043f\u043e\u0440\u043d\u0438\u043c \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f\u043c \u0442\u0430 \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0438\u043c \u0432\u0438\u0440\u0456\u0432\u043d\u044e\u0432\u0430\u043d\u043d\u044f\u043c<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Stage_2\" class=\"mw-headline\">\u0415\u0442\u0430\u043f 2<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Stage 2\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Stage 2\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=19\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\u041d\u0430 \u0446\u044c\u043e\u043c\u0443 \u0435\u0442\u0430\u043f\u0456 \u043e\u0441\u043d\u043e\u0432\u043d\u0430 \u0443\u0432\u0430\u0433\u0430 \u043f\u0440\u0438\u0434\u0456\u043b\u044f\u0454\u0442\u044c\u0441\u044f \u0444\u0443\u043d\u043a\u0446\u0456\u044f\u043c<\/li>\n<li>\u0426\u0435 \u0435\u0442\u0430\u043f, \u043a\u043e\u043b\u0438 \u0432\u0438 \u0433\u043e\u0442\u0443\u0454\u0442\u0435 \u0434\u043e \u0443\u0447\u0430\u0441\u0442\u0456<\/li>\n<li>\u0424\u043e\u043a\u0443\u0441 \u043d\u0430 \u0434\u0435\u0442\u0430\u043b\u044f\u0445<\/li>\n<li>\u041f\u0435\u0440\u0435\u0445\u0456\u0434 \u0432\u0456\u0434 \u0447\u0430\u0441\u0442\u043a\u043e\u0432\u043e\u0433\u043e \u0434\u043e \u043f\u043e\u0432\u043d\u043e\u0433\u043e \u043f\u0435\u0440\u0435\u043d\u0435\u0441\u0435\u043d\u043d\u044f \u043e\u043f\u043e\u0440\u043d\u043e\u0433\u043e \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f \u0442\u0430 \u0441\u0442\u043e\u044f\u043d\u043d\u044f \u043d\u0430 \u0434\u0432\u043e\u0445 \u043d\u043e\u0433\u0430\u0445<\/li>\n<li>\u041f\u043e\u0441\u0442\u0443\u043f\u043e\u0432\u043e \u0437\u0431\u0456\u043b\u044c\u0448\u0443\u0439\u0442\u0435 \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f \u0442\u0430 \u0441\u043a\u043b\u0430\u0434\u043d\u0456\u0441\u0442\u044c \u0440\u0443\u0445\u0456\u0432<\/li>\n<\/ul>\n<p>\u041f\u0440\u0438\u043a\u043b\u0430\u0434 \u0432\u043f\u0440\u0430\u0432:<\/p>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 100px auto;\"><a class=\"image\" href=\"\/File:Phase_2_OCL.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cf\/Phase_2_OCL.png\/250px-Phase_2_OCL.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cf\/Phase_2_OCL.png\/375px-Phase_2_OCL.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cf\/Phase_2_OCL.png\/500px-Phase_2_OCL.png 2x\" alt=\"\" width=\"250\" height=\"180\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>\u041f\u0435\u0440\u0435\u0445\u0456\u0434 \u0434\u043e \u043f\u043e\u0432\u043d\u043e\u0433\u043e \u043e\u043f\u043e\u0440\u043d\u043e\u0433\u043e \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f \u0437 \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0438\u043c \u0432\u0438\u0440\u0456\u0432\u043d\u044e\u0432\u0430\u043d\u043d\u044f\u043c<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Stage_3\" class=\"mw-headline\">\u0415\u0442\u0430\u043f 3<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Stage 3\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=20\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Stage 3\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=20\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\u0417\u0430\u043d\u044f\u0442\u0442\u044f \u0444\u0456\u0442\u043d\u0435\u0441\u043e\u043c<\/li>\n<\/ul>\n<p>\u041f\u0440\u0438\u043a\u043b\u0430\u0434\u0438 \u0432\u043f\u0440\u0430\u0432:<\/p>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 16.5px auto;\"><a class=\"image\" href=\"\/File:Phase_3_OCL.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/43\/Phase_3_OCL.png\/250px-Phase_3_OCL.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/43\/Phase_3_OCL.png\/375px-Phase_3_OCL.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/43\/Phase_3_OCL.png\/500px-Phase_3_OCL.png 2x\" alt=\"\" width=\"250\" height=\"347\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>\u0412\u043f\u0440\u0430\u0432\u0438 \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0456 \u0442\u0435\u0441\u0442\u0443 \u0440\u0456\u0432\u043d\u043e\u0432\u0430\u0433\u0438 Star Excursion (Star Excursion Balance Test, SEBT)<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 97.5px auto;\"><a class=\"image\" href=\"\/File:Phase_III_ocl.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_III_ocl.png\/250px-Phase_III_ocl.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_III_ocl.png\/375px-Phase_III_ocl.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_III_ocl.png\/500px-Phase_III_ocl.png 2x\" alt=\"\" width=\"250\" height=\"185\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>\u0417\u0430\u043d\u044f\u0442\u0442\u044f \u0444\u0456\u0442\u043d\u0435\u0441\u043e\u043c: \u043a\u0440\u043e\u043a \u0432\u043d\u0438\u0437\/\u043a\u0440\u043e\u043a \u0432\u0433\u043e\u0440\u0443<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<blockquote><p><i>\u041f\u0435\u0440\u0448 \u043d\u0456\u0436 \u043f\u0435\u0440\u0435\u0439\u0442\u0438 \u0434\u043e \u0435\u0442\u0430\u043f\u0443 4, \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u043f\u043e\u0432\u0438\u043d\u0435\u043d:<\/i><\/p>\n<ul>\n<li><i>\u041e\u0442\u0440\u0438\u043c\u0430\u0442\u0438 \u0445\u043e\u0440\u043e\u0448\u0456 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0438 \u0442\u0435\u0441\u0442\u0443 \u043d\u0430 \u0440\u0456\u0432\u043d\u043e\u0432\u0430\u0433\u0443 \u0437\u0430 <a title=\"Star Excursion Balance Test\" href=\"\/Star_Excursion_Balance_Test\">Star Excursion Balance Test <\/a> (SEBT)<\/i><\/li>\n<li><i>\u0412\u0438\u043a\u043e\u043d\u0443\u0432\u0430\u0442\u0438 \u0431\u0435\u0437 \u0431\u043e\u043b\u044e \u0434\u043e\u0440\u0441\u0430\u043b\u044c\u043d\u0435 \u0437\u0433\u0438\u043d\u0430\u043d\u043d\u044f \u0437\u0430 \u043f\u043e\u0432\u043d\u043e\u044e \u0430\u043c\u043f\u043b\u0456\u0442\u0443\u0434\u043e\u044e \u0437 \u043d\u0430\u0432\u0430\u043d\u0442\u0430\u0436\u0435\u043d\u043d\u044f\u043c<\/i><\/li>\n<li><i>\u0412\u0438\u043a\u043e\u043d\u0443\u0432\u0430\u0442\u0438 \u0442\u0435\u0441\u0442 \u0441\u0442\u0440\u0438\u0431\u043a\u0456\u0432 \u043d\u0430 \u043e\u0434\u043d\u0456\u0439 \u043d\u043e\u0437\u0456 \u0431\u0435\u0437 \u0431\u043e\u043b\u044e \u0442\u0430 \u0437 \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0438\u043c \u0432\u0438\u0440\u0456\u0432\u043d\u044e\u0432\u0430\u043d\u043d\u044f\u043c<\/i><\/li>\n<li><i>\u0414\u0435\u043c\u043e\u043d\u0441\u0442\u0440\u0443\u0432\u0430\u0442\u0438 \u0434\u043e\u0441\u0442\u0430\u0442\u043d\u0456\u0439 \u0440\u0443\u0445\u043e\u0432\u0438\u0439 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u044c \u0443 \u0437\u0430\u0434\u043d\u044c\u043e-\u043c\u0435\u0434\u0456\u0430\u043b\u044c\u043d\u043e\u043c\u0443 \u0440\u0443\u0441\u0456<\/i><\/li>\n<\/ul>\n<\/blockquote>\n<h4><span id=\"Stage_4\" class=\"mw-headline\">\u0415\u0442\u0430\u043f 4<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Stage 4\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Stage 4\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/blog.nasm.org\/fitness\/developing-power-in-everyday-athletes-with-plyometrics\" rel=\"nofollow\">Plyometrics<\/a><\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">\u0420\u0435\u0441\u0443\u0440\u0441\u0438<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=22\">edit<\/a><span class=\"mw-editsection-divider\">|<\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=22\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li>Saccomanni B. <a class=\"external text\" href=\"https:\/\/www.mathewsopenaccess.com\/scholarly-articles\/osteochondral-lesions-of-talus-a-comprehensive-review.pdf\" rel=\"nofollow\">Osteochondral Lesions of Talus: A Comprehensive Review.<\/a> Mathews J Orthop. 2018; 3(1): 021.<\/li>\n<li>Hannon CP, Smyth NA, Murawski CD, Savage-Elliott I, Deyer TW, Calder JD, Kennedy JG. <a class=\"external text\" href=\"https:\/\/online.boneandjoint.org.uk\/doi\/epub\/10.1302\/0301-620X.96B2.31637\" rel=\"nofollow\">Osteochondral lesions of the talus: aspects of current management.<\/a> Bone Joint J. 2014 Feb;96-B(2):164-71.<\/li>\n<li class=\"mw-empty-elt\">\n<\/li>\n<\/ol>\n<h2><span id=\"References\" class=\"mw-headline\">\u041f\u043e\u0441\u0438\u043b\u0430\u043d\u043d\u044f<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;veaction=edit&amp;section=23\">edit<\/a><span class=\"mw-editsection-divider\">|<\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Management_of_Ankle_Osteochondral_Lesions&amp;action=edit&amp;section=23\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:3-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-4\">1.4<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-5\">1.5<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-6\">1.6<\/a><\/sup> <sup><a href=\"#cite_ref-:3_1-7\">1.7<\/a><\/sup><\/span> <span class=\"reference-text\">Armiento AR, Alini M, Stoddart MJ. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0169409X18303193?via%3Dihub\" rel=\"nofollow\">Articular fibrocartilage &#8211; Why does hyaline cartilage fail to repair?<\/a> Adv Drug Deliv Rev. 2019 Jun;146:289-305.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Lakin BA, Snyder BD, Grinstaff MW. <a class=\"external text\" href=\"https:\/\/www.annualreviews.org\/doi\/full\/10.1146\/annurev-bioeng-071516-044525\" rel=\"nofollow\">Assessing cartilage biomechanical properties: techniques for evaluating the functional performance of cartilage in health and disease. Annual review of biomedical engineering<\/a>. 2017 Jun 21;19:27-55.<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Li G, Yin J, Gao J, Cheng TS, Pavlos NJ, Zhang C, et al. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/ar4405\" rel=\"nofollow\">Subchondral bone in osteoarthritis: insight into risk factors and microstructural changes<\/a>. Arthritis Res Ther. 2013;15(6):223. <\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Hu Y, Chen X, Wang S, Jing Y, Su J. <a class=\"external text\" href=\"https:\/\/www.nature.com\/articles\/s41413-021-00147-z.pdf\" rel=\"nofollow\">Subchondral bone microenvironment in osteoarthritis and pain<\/a>. Bone research. 2021 Mar 17;9(1):1-3.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Imhof H, Sulzbacher I, Grampp S, Czerny C, Youssefzadeh S, Kainberger F. Subchondral bone and cartilage disease: a rediscovered functional unit. Investigative radiology. 2000 Oct 1;35(10):581-8.<\/span><\/li>\n<li id=\"cite_note-:4-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">Lydon H, Getgood A, Henson FMD. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6376560\/\" rel=\"nofollow\">Healing of Osteochondral Defects via Endochondral Ossification in an Ovine Model<\/a>. Cartilage. 2019 Jan;10(1):94-101.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Shapiro F, Koide S, Glimcher MJ. Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. J Bone Joint Surg Am. 1993 Apr;75(4):532-53. <\/span><\/li>\n<li id=\"cite_note-:5-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_8-0\">8.00<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-1\">8.01<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-2\">8.02<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-3\">8.03<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-4\">8.04<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-5\">8.05<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-6\">8.06<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-7\">8.07<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-8\">8.08<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-9\">8.09<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-10\">8.10<\/a><\/sup><\/span> <span class=\"reference-text\">Krause F, Anwander H. <a class=\"external text\" href=\"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/7\/6\/EOR-22-0024.xml\" rel=\"nofollow\">Osteochondral lesion of the talus: still a problem?<\/a>. EFORT open reviews. 2022 Jun 1;7(6):337-43.<\/span><\/li>\n<li id=\"cite_note-:0-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_9-2\">9.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_9-3\">9.3<\/a><\/sup><\/span> <span class=\"reference-text\">Mosca M, Grassi A, Caravelli S. Osteochondral Lesions of Ankle and Knee. Will Future Treatments Really Be Represented by Custom-Made Metal Implants?. Journal of Clinical Medicine. 2022 Jul 1;11(13):3817.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Ferkel RD, Chams RN. Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int. 2007 Jan;28(1):24-31.<\/span><\/li>\n<li id=\"cite_note-:6-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-1\">11.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-2\">11.2<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-3\">11.3<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-4\">11.4<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-5\">11.5<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-6\">11.6<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-7\">11.7<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-8\">11.8<\/a><\/sup> <sup><a href=\"#cite_ref-:6_11-9\">11.9<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. Osteochondral Lesions Course. Plus2022<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959 Sep;41-A:988-1020.<\/span><\/li>\n<li id=\"cite_note-:1-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_13-1\">13.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_13-2\">13.2<\/a><\/sup><\/span> <span class=\"reference-text\">Badekas T, Takvorian M, Souras N. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3764304\/\" rel=\"nofollow\">Treatment principles for osteochondral lesions in foot and ankle<\/a>. Int Orthop. 2013 Sep;37(9):1697-706. <\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Loomer R, Fisher C, Lloyd-Smith R, Sisler J, Cooney T. Osteochondral lesions of the talus. Am J Sports Med. 1993 Jan-Feb;21(1):13-9. <\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Ferkel RD, Sgaglione NA, DelPizzo W. Arthroscopic treatment of osteochondral lesions of the talus: long-term results. Orthop Trans. 1990;14:172\u2013173.<\/span><\/li>\n<li id=\"cite_note-:2-16\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_16-0\">16.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_16-1\">16.1<\/a><\/sup><\/span> <span class=\"reference-text\">Elghawy AA, Sesin C, Rosselli M. <a class=\"external text\" href=\"https:\/\/bmjopensem.bmj.com\/content\/4\/1\/e000318\" rel=\"nofollow\">Osteochondral defects of the talus with a focus on platelet-rich plasma as a potential treatment option: a review.<\/a> BMJ Open Sport Exerc Med. 2018 Feb 1;4(1):e000318.<\/span> <\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Hepple S, Winson IG, Glew D. Osteochondral lesions of the talus: a revised classification. Foot Ankle Int. 1999 Dec;20(12):789-93.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Sophia Fox AJ, Bedi A, Rodeo SA. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3445147\/\" rel=\"nofollow\">The basic science of articular cartilage: structure, composition, and function. Sports Health<\/a>. 2009 Nov;1(6):461-8. <\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20230109192436\nCache expiry: 0\nDynamic content: true\nComplications: ()\nCPU time usage: 0.144 seconds\nReal time usage: 0.153 seconds\nPreprocessor visited node count: 522\/1000000\nPost\u2010expand include size: 67\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/40\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 16008\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%   13.471      1 Special:Contributors\/Management_of_Ankle_Osteochondral_Lesions\n100.00%   13.471      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0420\u0435\u0434\u0430\u043a\u0442\u043e\u0440 &#8211; Ewa Jaraczewska \u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0456 \u043a\u0443\u0440\u0441\u0443 Helene Simpson \u041e\u0441\u043d\u043e\u0432\u043d\u0438\u0439 \u0432\u043d\u0435\u0441\u043e\u043a &#8211; Ewa Jaraczewska, Jess Bell, Lucinda hampton \u0442\u0430 Kim Jackson \u0417\u043c\u0456\u0441\u0442 1 \u0412\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f 2 \u0417\u0430\u0433\u043e\u0454\u043d\u043d\u044f \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c 2.1 \u0415\u0442\u0456\u043e\u043b\u043e\u0433\u0456\u044f \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c 3 \u041e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0435 \u0443\u0440\u0430\u0436\u0435\u043d\u043d\u044f \u043d\u0430\u0434\u043f\u2019\u044f\u0442\u043a\u043e\u0432\u043e-\u0433\u043e\u043c\u0456\u043b\u043a\u043e\u0432\u043e\u0433\u043e \u0441\u0443\u0433\u043b\u043e\u0431\u0430 3.1 \u0421\u0438\u0441\u0442\u0435\u043c\u0430 \u043a\u043b\u0430\u0441\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u043e\u0441\u0442\u0435\u043e\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u0438\u0445 \u0443\u0440\u0430\u0436\u0435\u043d\u044c \u0445\u0440\u044f\u0449\u0430 \u043d\u0430\u0434\u043f&#8217;\u044f\u0442\u043a\u043e\u0432\u043e\u0457 \u043a\u0456\u0441\u0442\u043a\u0438 4 \u041a\u043b\u0456\u043d\u0456\u0447\u043d\u0430 \u043a\u0430\u0440\u0442\u0438\u043d\u0430 5 \u041c\u0435\u0442\u043e\u0434\u0438 \u0434\u0456\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 6 \u041a\u0440\u0438\u0442\u0435\u0440\u0456\u0457 \u043e\u0446\u0456\u043d\u044e\u0432\u0430\u043d\u043d\u044f \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456\u0432 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-12401","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/pages\/12401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/comments?post=12401"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/pages\/12401\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/uk\/wp-json\/wp\/v2\/media?parent=12401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}