Case study: the painful os trigonum syndrome

The painful os trigonum syndrome is one cause of posterolateral ankle pain. This syndrome is most prevalent in athletes who perform frequent and/or forceful plantar flexion. The painful os trigonum may be misdiagnosed as Achilles and/or peroneal tendinitis. In this case, the patient was misdiagnosed...

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Bibliographic Details
Published inThe journal of orthopaedic and sports physical therapy Vol. 22; no. 1; pp. 22 - 25
Main Authors Brown, G P, Feehery, Jr, R V, Grant, S M
Format Journal Article
LanguageEnglish
Published United States 01.07.1995
Subjects
Adult
Ankle Injuries - physiopathology
Ankle Injuries - rehabilitation
Ankle Injuries - surgery
Ankle Joint - physiopathology
Ankle Joint - surgery
Athletic Injuries - physiopathology
Athletic Injuries - rehabilitation
Athletic Injuries - surgery
Humans
Male
Pain - etiology
Pain - rehabilitation
Pain - surgery
Syndrome
Talus - physiopathology
Talus - surgery
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Summary:The painful os trigonum syndrome is one cause of posterolateral ankle pain. This syndrome is most prevalent in athletes who perform frequent and/or forceful plantar flexion. The painful os trigonum may be misdiagnosed as Achilles and/or peroneal tendinitis. In this case, the patient was misdiagnosed for 15 months and treated for tendinitis. The appropriate clinical tests to evaluate the os trigonum as a source of posterolateral ankle pain are outlined. The surgical and postoperative management for the patient are discussed. Clinicians should be aware of the painful os trigonum syndrome as a possible source of posterolateral ankle pain.
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ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.1995.22.1.22