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[Os trigonum syndrome].

J Zeichen1, E Schratt, U Bosch

  • 1Unfallchirurgische Klinik, Medizinische Hochschule Hannover.

Der Unfallchirurg
|June 4, 1999
PubMed
Summary
This summary is machine-generated.

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Os trigonum syndrome causes posterior ankle pain, often from sports. Treatment involves non-operative methods, with surgery indicated if these fail to resolve the os trigonum pain.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Anatomy

Background:

  • Os trigonum syndrome is a common cause of posterior ankle pain.
  • It frequently affects athletes participating in sports involving repetitive plantarflexion.
  • Understanding the anatomy and biomechanics is crucial for diagnosis.

Purpose of the Study:

  • To present the diagnosis and differential diagnosis of os trigonum syndrome.
  • To illustrate typical patient complaints and management strategies.
  • To outline the indications for surgical intervention.

Main Methods:

  • Review of diagnostic criteria for os trigonum syndrome.
  • Discussion of differential diagnoses for posterior ankle pain.
  • Case presentation detailing symptoms and treatment course.

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Main Results:

  • Os trigonum syndrome presents with characteristic posterior ankle pain, often exacerbated by activity.
  • Non-operative treatments are the primary therapeutic approach.
  • Surgical excision of the os trigonum is recommended for refractory cases.

Conclusions:

  • Accurate diagnosis and differential diagnosis are key to managing os trigonum syndrome.
  • A stepwise approach to treatment, starting with conservative measures, is effective.
  • Surgical intervention provides a solution for persistent symptoms unresponsive to non-operative care.