Stieda process versus Haglund’s deformity: An uncommon presentation of posterior ankle impingement

Perdikakis, Evangelos; Karantanas, Apostolos H.

doi:10.2478/s11536-011-0001-9

Cited by 2 publications

(1 citation statement)

References 9 publications

(38 reference statements)

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“…Moreover, local anesthetic injection under fluoroscopy is recommended for diagnostic tests (Yilmaz and Eskandari 2006). MRI is required to confirm if the PAIS caused by SP (Perdikakis and Karantanas 2011). MRI detects the bony and softtissue abnormalities related to the PAIS (Bureau et al 2000), and it is helpful in the assessment of abnormal signal intensity in the SP (Bureau et al 2000), such as high signal intensity on fat-suppressed T2-weighted images/ STIR sequences and low signal intensity on T1-weighted images (Cerezal et al 2003;Robinson and White 2002).…”

Section: Differential Diagnosismentioning

confidence: 99%

The Stieda process of the talus: the anatomical knowledge and clinical significance of an overlooked protrusion

Öğüt

2022

Bull Natl Res Cent

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Background The Stieda process (SP) is an extended lateral tubercle of the posterior process of the talus. Although there are different classifications for SP in the literature, it is essential to know the differential diagnosis of SP from fractures and accessory ossicles. This review aims to classify the SP and to guide the formation, prevalence, etiopathology, symptoms, differential diagnosis, and treatment. Main body of the abstract The authors conducted a literature review that lasted up to September 2022 and used the databases PubMed, Web of Science, and Google Scholar to explore the SP of the talus in all of its aspects. Out of 3802 publications, only 34 could be included, and most of them were studies on posterior ankle impingement syndrome (PAIS). The occurrence, prevalence, etiopathology, clinical significance, symptoms, differential diagnosis, and treatment methods of SP were investigated based on the literature. SP is formed by the fusion of a secondary ossification center at the posterolateral side of the talus with an incidence of 12–36.5%. It is frequently observed in males. It causes reduced plantar flexion, impairment in the inversion of the foot, pain, and swelling in the posterior ankle joint, PAIS, and SP fractures after trauma. Short conclusion SP can be diagnosed by lateral ankle radiography or MRI in patients complaining of PAIS. The initial treatment of the SP should include reducing inflammation, swelling, pain, and limiting activities. If neither modality affects the patient, surgical treatment will be performed, and SP will be resected until the impingement disappears.

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