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Case study: persistent ankle pain- the os trigonurn duly considered.
The Journal of Orthopaedic and Sports Physical Therapy
|January 1, 1987
Summary
Persistent ankle pain after sprain may indicate a large os trigonum. This condition, often overlooked, requires specific diagnosis and treatment for effective recovery in athletes and active individuals.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomy
Background:
- Ankle sprains are common emergency room visits.
- Standard treatment involves immobilization, rest, and pain management.
- A subset of patients experience persistent pain, particularly with plantarflexion.
Purpose of the Study:
- To highlight the clinical significance of a large os trigonum.
- To describe the diagnosis and treatment of this condition.
- To review relevant literature on posterior ankle impingement.
Main Methods:
- Case report presentation.
- Clinical examination and diagnostic imaging (implied).
- Literature review.
Main Results:
- A considerable number of patients with large os trigonum were identified.
- The case demonstrates the link between large os trigonum and persistent ankle pain.
- Os trigonum can cause posterior ankle impingement syndrome.
Conclusions:
- A large os trigonum is a significant cause of chronic ankle pain post-injury.
- Early recognition and appropriate management are crucial for resolution.
- Further research into posterior ankle impingement is warranted.

