Post-traumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement.

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Serval ID
serval:BIB_DE697AD54370
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Post-traumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement.
Journal
Knee Surgery, Sports Traumatology, Arthroscopy
Author(s)
Mouhsine E., Crevoisier X., Leyvraz P.F., Akiki A., Dutoit M., Garofalo R.
ISSN
0942-2056
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
12
Number
3
Pages
250-253
Language
english
Abstract
The purpose of this paper is to discuss the post-traumatic overload syndrome of the os trigonum as a possible cause of posterior ankle impingement and hindfoot pain. We have reviewed 19 athletes who were referred to our foot unit between 1995 and 2001 because of posterior ankle pain, and in whom a post-traumatic overload syndrome of os trigonum was diagnosed. All these patients were followed up over a period of 2 years. In 11 cases a chronic repetitive movements in forced plantar flexion was found. In the other eight cases the pain appeared to persist after a standard treatment of an ankle sprain in inversion plantar flexion. The diagnosis was based on clinical history, physical examination and X-rays that revealed a non-fused os trigonum. The confirmation of diagnosis was carried-out injecting local anaesthetic under fluoroscopic control. In all cases a corticosteroid injection as first line treatment was performed. In 6 cases a second injection was necessary to alleviate pain because incomplete recovery with the first injection. Three cases (16%) were recalcitrant to this treatment and in these three cases a surgical excision of the os trigonum was carried out. Our conclusion is that after some chronic athletic activity or an acute ankle sprain the os trigonum, if present, may undergo mechanical overload, remain undisrupted and become painful. Treatment by corticosteroid injection often resolves the problem.
Keywords
Adult, Athletic Injuries, Cumulative Trauma Disorders, Diagnosis, Differential, Female, Humans, Male, Recovery of Function, Retrospective Studies, Risk Factors, Syndrome, Talus, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 13:22
Last modification date
01/10/2019 7:19
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