Disorders of the Flexor Hallucis Longus and Os Trigonum

Rungprai, Chamnanni; Tennant, Joshua N.; Phisitkul, Phinit

doi:10.1016/j.csm.2015.06.005

Cited by 34 publications

(25 citation statements)

References 63 publications

(175 reference statements)

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“…10 They also reported similar results for the percentage of the patients that can return to sports after surgery but the average time to return to activities is longer following open surgery (12 to 25 weeks vs 6 to 8 weeks).…”

Section: Surgical Techniquementioning

confidence: 61%

“…On the lateral view, an os trigonum can be seen or a predisposition to impingement can be predicted when a Stieda process, prominence of the posterior malleolus of the tibia or the posterior process of the calcaneus is seen. 10 The lateral view can also show osteophytes, calcification, loose bodies, chondromatosis and opacification of the Kager triangle. 3 If an os trigonum or calcifications cannot be detected on the lateral view, van Dijk recommends the use of lateral radiographs in 25° of external rotation to limit the superimposition of the posterolateral part on the medial talar tubercle.…”

Section: Hindfoot Abnormalitiesmentioning

confidence: 99%

“…11 In FHL tenosynovitis, stretching exercises of the FHL tendon should be considered as the initial treatment along with the traditional measures such as rest, ice, bracing and anti-inflammatory drugs. 10 Patients who are unresponsive to conservative treatment and athletes suffering from FHL tenosynovitis require surgical intervention.…”

Section: Hindfoot Abnormalitiesmentioning

confidence: 99%

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Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques

Öğüt

Yontar

2017

EFORT Open Reviews

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The two-portal hindfoot arthroscopy is an effective procedure enabling direct visualisation of posterior ankle pathology with low invasiveness.An important stage of the hindfoot endoscopy is localisation of the flexor hallucis longus (FHL) tendon to protect the neurovascular bundle which is located just medial to it.Posterior ankle impingement syndrome and FHL tenosynovitis are common causes of posterior ankle pain and frequently occur together.Posteriorly localised talar osteochondral lesions, Achilles tendon disorders, osteoarthritis, talar bone cysts and talar fractures are among the other pathologies that can be treated with hindfoot arthroscopy.Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160055. Originally published online at www.efortopenreviews.org

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Section: Surgical Techniquementioning

confidence: 61%

Section: Hindfoot Abnormalitiesmentioning

confidence: 99%

Section: Hindfoot Abnormalitiesmentioning

confidence: 99%

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Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques

Öğüt

Yontar

2017

EFORT Open Reviews

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“…Magnetic resonance imaging can identify the abnormality manifests as bone marrow edema, a fracture line, or fluid in the synchondrosis or osteoarthritis of the joint between the os trigonum and calcaneus and associated flexor hallucis longus pathology (8). If an os trigonum is absent on radiography in chronic ankle pain, an MRI can also help diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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

Safer

Kaya

2016

Middle East J Rehabil Health

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Introduction: The os trigonum syndrome is a common cause of posterior ankle pain, often affecting ballet dancers, soccer players, runners and gymnasts who frequently force the ankle into plantar flexion. In rare cases, onset of the os trigonum syndrome followed an acute injury. Case Presentation: A 62-year-old female patient was admitted with load depended ankle pain and swelling, lasting for five years which promptly started after a car accident. We incidentally discovered os trigonum on plain radiography on a lateral view of the right ankle. Conclusions:The os trigonum syndrome should take in consideration in elderly subject who had posterior ankle pain starting after a car accident.

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“…During flexion the tendon slides up and down under the palpating finger of the examiner. In ankle dorsiflexion the FHL excursion may be limited, but in plantar flexion this is restored 18. Tendinopathy of the peroneal, Achilles and PTT is diagnosed in a similar way.…”

Section: Current State Of the Artmentioning

confidence: 99%