An Unusual Os Trigonum Syndrome Case Secondary to Car Accident: A Case Report

Safer, Vildan Binay; Safer, Umut; Kaya, L.

doi:10.17795/mejrh-36719

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Treatment options for Trigonum Bone Syndrome vary depending on the severity of the symptoms and the extent of soft tissue involvement. Conservative measures, such as rest, ice, compression, elevation, and analgesics, are often recommended initially [7]. In cases where these measures fail to provide adequate relief, as in our patient, surgical intervention may be necessary.…”

Section: Discussionmentioning

confidence: 96%

Clinical Presentation and Management of Trigonum Bone Syndrome in a Pediatric Patient

Tenajas¹

2023

J Clin Med Surgery

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Section: Discussionmentioning

confidence: 96%

Clinical Presentation and Management of Trigonum Bone Syndrome in a Pediatric Patient

Tenajas¹

2023

J Clin Med Surgery

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“…It is believed to arise from the failure of fusion between the lateral tubercle of the posterior process of the talus and the surrounding bone during development [7]. The os trigonum can cause pain and limited range of motion in the ankle joint, particularly in athletes and dancers who place increased stress on this area [8]. MRI is commonly used to diagnose and evaluate os trigonum, as it allows for visualization of the bony structure and surrounding soft tissues.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Types of Os Trigonum and Findings of Conventional Ankle Magnetic Resonance Imaging: A Study Based on Three-Dimensional Magnetic Resonance Imaging

Lee,

Kim

2024

Diagnostics

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This study aimed to investigate the dimensions and types of the os trigonum and evaluate their relationship with various pathologic conditions on the posterior ankle using ankle MRI images. A total of 124 non-contrast-enhanced ankle and foot MR images of 123 consecutive patients were included in this retrospective study. The images were presented randomly, and they contained no patient information. The MR images were retrospectively and independently reviewed by two reviewers with a fellowship-trained musculoskeletal radiologist. The images were classified as type I and II based on the ossicle’s medial border overlying the talus’s posterior process and the groove for the flexor hallucis longus tendon (FHL). The study revealed that patients with type II os trigonum had a longer transverse diameter of the ossicle than type I, and there were statistically significant differences. Detachment status tended to be less in type I than in type II os trigonum, and the differences between the groups were statistically significant. There were no significant differences between type I and II os trigonum regarding posterior talofibular ligament (PTFL) abnormality, bone marrow edema, FHL tenosynovitis, and posterior synovitis. The study concluded that the os trigonum is a common cause of posterior ankle impingement, and type II os trigonum has a longer transverse diameter of the ossicle than type I.

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“…It frequently occurs bilateral being common in soccer players, runners, and gymnasts, due to repeated plantar flexion of the ankle. 6,[8][9][10][11][12] It is predominantly symptomatic in men compared to women. 3 Repetitive dorsiflexion of the foots, metatarsophalangeal joint, and plantarflexion of the ankle, can result in FHL tendonitis, tenosynovitis.…”

Section: Discussionmentioning

confidence: 99%

“…3 Repetitive dorsiflexion of the foots, metatarsophalangeal joint, and plantarflexion of the ankle, can result in FHL tendonitis, tenosynovitis. 9,12 OST resulting from failed fusion of secondary ossification center of lateral tubercle of the talus can be differentiated from avulsion fractures of the talus, by remarkably sharp edges and discontinuity of the cortical lining. Hyper plantarflexion of the ankle may result in posterior ankle fractures, which are commonly misdiagnosed and treated as simple ankle sprains, which can present with nutcracker sign.…”

Section: Discussionmentioning

confidence: 99%

Radiological study of Os trigonum and its clinical significance

2021

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Background: Os trigonum (OST) is commonly located on the posterior aspect of the talus. It occurs as a result of secondary ossification center failing to fuse with the lateral tubercle of the posterior process of the talus; its incidence varies between 2 and 25%, and is more often bilateral. It occurs as an intra-articular Os, which is most often securely rooted to the lateral tubercle of the talus by a fibrocartilaginous synchondrosis. Aims and Objective: To determine the incidence, morphology, and distribution of Os Trigonum (OST). Materials and Methods: Retrospective 500 lateral foot radiographs view were studied to determine the incidence, morphology, and distribution of OST. Results: Incidence of OST in the present study was 6.6%, with predominantly round or ovoid in shape. OST was located on the posterolateral aspect of the talus. Conclusion: OST can be one of the causative factor responsible for Flexor hallucis longus tendonitis, OST syndrome, which occur in plantarflexion of the ankle, leading to compression of the OST between the distal tibia and the calcaneus. Hence, knowledge regarding the incidence, morphology, and distribution of OST is important for the radiologist, orthopedic surgeons to arrive at a correct diagnosis, which aids in the management of cases presenting with complaints of posterior ankle pain.

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An Unusual Os Trigonum Syndrome Case Secondary to Car Accident: A Case Report

Cited by 3 publications

References 8 publications

Clinical Presentation and Management of Trigonum Bone Syndrome in a Pediatric Patient

Clinical Presentation and Management of Trigonum Bone Syndrome in a Pediatric Patient

The Relationship between Types of Os Trigonum and Findings of Conventional Ankle Magnetic Resonance Imaging: A Study Based on Three-Dimensional Magnetic Resonance Imaging

Radiological study of Os trigonum and its clinical significance

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