Degenerative Joint Disease in Female Ballet Dancers

Dijk, C. Niek van; Lim, Li–Anne S; Poortman, A.; Strübbe, E. H.; Marti, René K

doi:10.1177/036354659502300307

Cited by 163 publications

(117 citation statements)

References 14 publications

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“…8,14,15 In general, osteophytes are a secondary manifestation of osteoarthritis, [15][16][17] but in the ankle repetitive minor trauma can induce the formation of the spur commonly seen in soccer players and ballet dancers. 15,[18][19][20] It has been suggested that this is caused by excessive strain on the anterior joint capsule or by repetitive trauma. 15,19,21 In our study, 18 of the 22 ankles showing tibial and talar osteophytes had them located within the joint capsule and not at the site of attachment of the capsule; hence they could not be due to capsular strain.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopy for Problems After Ankle Fracture

Dijk

Verhagen

Tol

1997

The Journal of Bone and Joint Surgery. British volume

125

101

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From 1990 to 1994 we undertook arthroscopy of the ankle on 34 consecutive patients with residual complaints following fracture. Two groups were compared prospectively. Group I comprised 18 patients with complaints which could be attributed clinically to anterior bony or soft-tissue impingement. In group II the complaints of the 16 patients were more diffuse and despite extensive investigation the definitive diagnosis was not clear before arthroscopy. At the time of the fracture, some osteophytes were already present in 41% of the patients. These were related to previous supination trauma and participation in soccer. Arthroscopic treatment consisted of removal of the anteriorly located osteophytes and/or scar tissue. After two years, group I showed a significantly better score for patient satisfaction (p = 0.02). There were good or excellent results in group I in 76% and group II in 43%. Patients with residual complaints after an ankle fracture and clinical signs of anterior impingement may benefit from arthroscopic surgery. The place for diagnostic ankle arthroscopy is limited.

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Section: Discussionmentioning

confidence: 99%

Arthroscopy for Problems After Ankle Fracture

Dijk

Verhagen

Tol

1997

The Journal of Bone and Joint Surgery. British volume

125

101

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“…was consulted to achieve a final judgement. Radiographic osteoarthritis (ROA) of the tibiotalar joint was quantified by the grading scale of Van Dijk et al [14] into four grades (range 0-3) (see Appendix).…”

Section: Radiographic Examinationmentioning

confidence: 99%

Long-term results after a triple arthrodesis of the hindfoot: function and satisfaction in 36 patients

Groot

Reijman

Luning³

et al. 2007

International Orthopaedics (SICO

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The long-term functional results of a triple arthrodesis of the hindfoot are not well known. In this retrospective cohort study we therefore investigated pain, function and aligment of the tibiotalar joint, patient satisfaction with the procedure and the prevalence of osteoarthritis (OA) of the tibiotalar joint after a median follow-up of six years. We also aimed to investigate whether there are patient and surgical characteristics associated with the outcome. Patients who underwent a triple arthrodesis for OA between January 1992 and July 2002 were invited to participate. A clinical examination was performed, the Ankle-Hindfoot Scale was completed, and radiographs were taken. Patient characteristics (e.g., age, gender and the indication for operation) and surgical characteristics (e.g., fixation material and use of bone graft) were collected. Sixty-one percent (22 patients) of the patients had a good total score on the Ankle-Hindfoot Scale. Nineteen patients (53%) were satisfied with the result of the operation and 47% of the patients had radiographic OA of the tibiotalar joint. In a univariate regression analysis, male gender and the score on the Ankle-Hindfoot Scale were significantly associated with radiographic OA. Patient satisfaction was significantly associated with a higher score on the Ankle-Hindfoot Scale and better dorsi-flexion of the ankle. Our study shows that 61% of the procedures in 36 patients with a triple arthrodesis for OA had a good score on the Ankle-Hindfoot Scale.Radiographic OA of the ankle was present in 47% of the cases and was not related to patient satisfaction. No patient characteristics or surgical characteristics were associated with the score on the Ankle-Hindfoot Scale.Résumé Les résultats fonctionnels à long terme de la triple arthrodèse de l'arrière pied sont maintenant bien connus. Nous avons réalisé une analyse rétrospective d'une cohorte de patients avec étude de la douleur, du fonctionnement et de la position de l'articulation tibiotalienne ainsi que de la satisfaction des patients. Nous avons également évalué la prévalence de l'arthrose (OA) de l'articulation tibiotalienne sur un suivi moyen de 6 ans. Méthode: les patients ayant bénéficié d'une triple arthrodèse ont été analysés. Ces patients ont été opérés entre Janvier 1992 et Juillet 2002. Un examen clinique a été réalisé ainsi que des radiographies. Ont été également analysés, l'âge, l'état général des patients, le sexe, l'indication ainsi que la technique opératoire : matériel de fixation, utilisation de greffes. 61% (22 patients) des patients avaient de bons résultats selon le score AnkleHindfoot Scale. Dix-neuf patients (53%) ont été satisfaits du résultat et 47% des patients avaient une radiographie avec une arthrose de l'articulation tibiotalienne. Lors de l'analyse, nous avons mis en évidence pour le sexe masculin que le score Ankle-Hindfoot Scale était de façon significative associé à des signes d'arthrose radiologique, la satisfaction des patients était significativement associée au score élevé de An...

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“…Ancak mesleki olarak balerin ve futbolcularda daha sık os trigonum sendromu görüldüğü raporlanmıştır (12,13). En pointe hareketini yapan 19 balerin ve balet ile yapılan bir çalışmada, hiçbir hastada arka ayak ağrısı semptomu bulunmazken 38 ayak bileğinin 18'inde radyolojik olarak os trigonum varlığı görülmüştür (14). Ancak olgumuzun bu iki meslek grubuyla ilişkisi olmadığı gözlenmiştir.…”

Section: Discussionunclassified

Os Trigonum Sendromlu Bir Olgu

Turan¹,

Karataş²,

Kahvecioğlu³

et al. 2013

Tftr

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Türk Fiz T›p Re hab Derg 2013;59:161-4 Turk J Phys Med Re hab 2013;59:161-4 ÖzetOs trigonum sendromu, arka ayak ağrısına sebep olan ve nadir görülen patolojilerden biridir. Os trigonum, talusun posteriorunda yer alan aksesuar bir kemiktir. Bu kemiğin talus ile kalkaneus arasında sıkışması sonucu arka ayak ağrısına neden olması os trigonum sendromu olarak tanımlan-maktadır. Bu yazıda tanısı sıklıkla göz ardı edilen os trigonum sendromlu bir olgu sunulmuştur. Son iki aydır sol ayağında yürümekle şiddetlenen ağrı yakınması olan 65 yaşındaki bayan hasta polikliniğimize başvurdu. Fizik muayenede ayak bileğinin ve başparmağın plantar fleksiyon hareketi ağrılıydı. Hastanın ağrısı visüel anolog skala (VAS) ile değerlendirildi ve 8 cm olarak not edildi. Palpasyon ile talusun posteriorunda hassasiyet saptandı. Radyolojik incelemeler sonucu os trigonum sendromu tanısı konularak olguya transkütanöz elektriksel sinir stimülasyonu (TENS), soğuk paket, ayak bileği ve ayak baş parmağına eklem hareket açıklığı ile güçlendirme egzersizlerinden oluşan fizik tedavi programı başlandı. Tedavi sonrasında ağrı VAS'ı 2cm'e geriledi ve hasta klinik takibe alındı. Arka ayak ağrısı ile başvuran hastalarda diğer sık görülen sebeplerin yanı sıra os trigonum sendromu da göz önünde bulundurulmalıdır. Ayrıca fizik tedavi programı böyle olgularda hem ağrı kontrolü, hem de tedavi maliyetlerinin azaltılması bakımından oldukça etkilidir. Sum maryOs trigonum syndrome is one of the rare causes of posterior foot pain. Os trigonum, which is placed at the posterior of talus, is an accessory bone. Os trigonum syndrome causes back foot pain due to compression between talus and calcaneus. In this study, we present a case of os trigonum syndrome , which is a rare disease and is generally missed. A 65-year-old female patient with a complaint of left foot pain for the last 2 months persented to our outpatient clinic. In the physical examination, plantar flexion of the ankle and toe was painful. Patient's pain was evaluated by the visual analog scale and noted as 8 cm. There was sensitivity at the posterior of talus during palpation. Os trigonum syndrome was diagnosed based on radiological examinations and a physical therapy program consisting of transcutaneous electrical nerve stimulation (TENS), cold pack, foot and ankle range of motion and strengthening exercises was started. After the treatment, pain VAS decreased to 2cm, and then the patient was followed clinically. As in our case, os trigonum syndrome should also be taken into consideration in patients complaining with posterior foot pain apart from other frequently encountered causes. In such cases, physical therapy programs are very effective in pain management and in reducing the cost of treatment. Turk J Phys Med Rehab 2013;59:161-4.

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Degenerative Joint Disease in Female Ballet Dancers

Cited by 163 publications

References 14 publications

Arthroscopy for Problems After Ankle Fracture

Arthroscopy for Problems After Ankle Fracture

Long-term results after a triple arthrodesis of the hindfoot: function and satisfaction in 36 patients

Os Trigonum Sendromlu Bir Olgu

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