| Post-traumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement. | |
MedLine Citation:
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PMID: 14747904 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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E Mouhsine; X Crevoisier; P F Leyvraz; A Akiki; M Dutoit; R Garofalo |
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Publication Detail:
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Type: Journal Article Date: 2004-01-28 |
Journal Detail:
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Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 12 ISSN: 0942-2056 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-05-27 Completed Date: 2004-10-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
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Languages: eng Pagination: 250-3 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery and Traumatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. elyazid.mouhsine@hosr.hospvd.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Athletic Injuries / diagnosis*, etiology, therapy Cumulative Trauma Disorders / diagnosis*, etiology, therapy Diagnosis, Differential Female Humans Male Recovery of Function Retrospective Studies Risk Factors Syndrome Talus / injuries*, pathology, radiography Treatment Outcome |
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