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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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
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Abstract 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.
AbstractList 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.
Author Brown, G P
Grant, S M
Feehery, Jr, R V
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References Hontas MI (p_3) 1986; 14
Hamilton WG (p_2) 1983; 3
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  publication-title: Am J Sports Med
  doi: 10.1177/036354658601400610
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    fullname: Hontas MI
– volume: 3
  start-page: 80
  issue: 74
  year: 1983
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  publication-title: Foot Ankle
  contributor:
    fullname: Hamilton WG
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Snippet 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...
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StartPage 22
SubjectTerms 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
Title Case study: the painful os trigonum syndrome
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