Os Trigonum: Should You Treat It Surgically?

Start Page: 64
69
Author(s): 
Christopher Corwin, DPM, MS and John Sekel, DPM

Editor’s note: For further reading, see “Treating Foot And Ankle Injuries In Ballet Dancers” in the June 2003 issue of Podiatry Today, “Essential Tips For Tackling Football Injuries” in the September 2002 issue, “Mastering Ankle Impingement Syndromes” in the August 2007 issue or “What You Should Know About Dance Injuries” in the January 2005 issue.

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References

1. Blake RL, Lallas PJ, Ferguson HB. The os trigonum syndrome. JAPMA 1992; 82(3):154-161.

2. Wenig JA. Os trigonum syndrome. JAPMA 1990; 80(5):278-282.

3. Hedrick MR, McBryde AM. Posterior ankle impingement. Foot Ankle Int 1994; 15(1):2-8.

4. Karasick D, Schweitzer ME. The os trigonum syndrome: imaging features. Am J Radiology 1996; 166(1):125-129.

5. 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 2003; 85-A(6):1051-1057.

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Anonymoussays: February 10, 2010 at 4:03 pm

I have a patient that I am treating for Os Trigonum Syndrome except the Os Trigonum appears to be fused to the calcaneus just posterior to the lateral process of the talus, is this still considered an Os Trigonum? B/L views show a similar presentation on the opposite foot. This patient also has significant peroneal subluxation with audible popping and there is Talo-navicular joint spurring and DJD are these findings linked to the chronic effects of a lack of plantarflextion secondary to the Os Trigonum?

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