Unilateral Painful Os Trigonum Syndrome in an Indian Housewife: A Rare Case Report
Rachit Gulati
Keywords :
Ankle pain, Os trigonum, Talus
Citation Information :
Gulati R. Unilateral Painful Os Trigonum Syndrome in an Indian Housewife: A Rare Case Report. Indian J Phy Med Rehab 2018; 29 (1):20-23.
The os trigonum is a tiny bone found on the posterolateral aspect of the talus. It has a separate ossification center which does not unite with the talus itself. It is difficult to make the diagnosis, as clinical features and physical examination findings mimic those that occur with conditions related to flexor hallucis longus, an accessory soleus muscle, peroneal tendons, tibialis posterior, or arthritis of the posterior subtalar or tibiotalar joints. Misdiagnosis may lead to inadequate management which includes early weight bearing and unrelieved symptoms. This syndrome is found mostly in ballet dancers, runners, and soccer players.
Hamilton WG, Geppert MJ, Thompson FM. Pain in the posterior aspect of the ankle in dancers. J Bone Joint Surg 1996 Oct;78(10):1491-1500.
Johnson RP, Collier BD, Carrera GF. The os trigonum syndrome: use of bone scan in the diagnosis. J Trauma 1984 Aug;24(8):761-764.
Abramowitz Y, Wollstein R, Barzilay Y, London E, Matan Y, Shabat S, Nyska M. Outcome of resection of a symptomatic os trigonum. J Bone Joint Surg Am 2003 Jun;85-A(6):1051-1057.
Anwar R, Nicholl JE. Non-union of a fractured os trigonum. Injury Extra 2005 Jul;36(7):267-270.
Bureau NJ, Cardinal E, Hobden R, Aubin B. Posterior ankle impingement syndrome: MR imaging findings in seven patients. Radiology 2000 May;215(2):497-503.
Mellado JM, Ramos A, Salvado E, Camins A, Danus M, Sauri A. Accessory ossicles and sesamoid bones of the ankle and foot: imaging findings, clinical significance and differential diagnosis. Eur Radiol 2003 Dec;13(Suppl 4):L164-L177.
Grogan DP, Walling AK, Odgen JA. Anatomy of the os trigonum. J Pediatr Orthop 1990 Sep-Oct;10(5):618-622.
Wenig JA. Ostrigonum syndrome. J Am Podiatric Med Assoc 1990 May;80(5):278-282.
Vinod Kumar Reddy MC, Prabhu E, Khalid, Gudi NS. Os trigonum syndrome—a case report. Int J Biomed Adv Res 2015 Jan;6(1):60-63.
van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy 2000 Nov;16(8):871-876.
Williams MM, Ferkel RD. Subtalar arthroscopy: indications, techniques, results. Arthroscopy 1998 May-Jun;14(4):373-381.
Molly, SC.; Michael, DP. Chronic ankle conditions. In: Banks AS, Downey MS, Martin DE, Miller SJ, editors. McGlamry's comprehensive textbook of foot and ankle surgery. 3rd ed. Vol. 2. Philadelphia (PA): Lippincott Williams and Wilkins; 2001. pp. 1097-1099.
Schubert, JM.; Adler, DC. Talar fractures. In: Banks AS, Downey MS, Martin DE, Miller SJ, editors. McGlamry's comprehensive textbook of foot and ankle surgery. 3rd ed. Vol 1. Philadelphia (PA): Lippincott Williams and Wilkins; 2001. pp. 1871-1874.
Paulos LE, Johnson CL, Noyes FR. Posterior compartment fractures of the ankle: a commonly missed athletic injury. Am J Sports Med 1983 Nov-Dec;11(6):439-443.
