Atypical Os trigonum syndrome: a case of FHL entrapment
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20221134Keywords:
Ankle impingement, Talus, FHL entrapment, Radiography, ExcisionAbstract
Os trigonum is an accessory bony growth from posterior aspect of talus, which presents as swelling and pain behind the ankle causing hinderance to daily activities secondary to impingement. The overuse of ankle with repetitive stress on plantar flexion is usually seen in ballet dancers. Unusual cases can be seen irrespective of the profession and can be symptomatic. Sometimes symptomatic patients may improve with activity modification and rest. Syndromic involvement is featured by entrapment of FHL tendon. In that case, excision of the mass with entrapment release can improve the functional outcome.
Metrics
References
McAlister JE, Urooj U. Os Trigonum Syndrome. Clin Podiatr Med Surg. 2021;38(2):279-90.
Ahn JH, Kim YC, Kim HY. Arthroscopic Versus Posterior Endoscopic Excision of a Symptomatic Os Trigonum: A Retrospective Cohort Study. Am J Sports Med. 2013;41(5):1082-9.
Kalbouneh HM, Alajoulin O, Alsalem M, Mansour Y, Shawaqfeh J, Altarawneh T, et al. Incidence of symptomatic os trigonum among nonathletic patients with ankle sprain. Surg Radiol Anat. 2019;41(12):1433-9.
Safer VB, Safer U, Kaya L. An Unusual Os Trigonum Syndrome Case Secondary to Car Accident: A Case Report. Middle East J Rehabil Health Stud. 2016;3(2).
Nwawka OK, Hayashi D, Diaz LE, Goud AR, Arndt WF, Roemer FW, et al. Sesamoids and accessory ossicles of the foot: anatomical variability and related pathology. Insights Imaging. 2013;4(5):581-93.
Abramowitz Y, Wollstein R, Barzilay Y, London E, Matan Y, Shabat S, et al. Outcome of resection of a symptomatic os trigonum. J Bone Joint Surg Am. 2003;85(6):1051-7.
López Valerio V, Seijas R, Alvarez P, Ares O, Steinbacher G, Sallent A, et al. Endoscopic repair of posterior ankle impingement syndrome due to os trigonum in soccer players. Foot Ankle Int. 2015;36(1):70-4.