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Symptomatic os trigonum in children.

Yann Glard1, Samuel Jacopin, Emmanuel Soucanye de Landevoisin

  • 1Department of Pediatric Orthopaedics, Timone Children's Hospital, 264, Rue St Pierre, Marseille 13385, France. yann.glard@ap-hm.fr

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|May 5, 2009
PubMed
Summary

Symptomatic os trigonum, a cause of chronic ankle pain in adults, can also affect children. Surgical treatment through a postero medial approach effectively resolves pain and allows return to activities in pediatric patients.

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Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • Symptomatic os trigonum is a rare cause of chronic ankle pain, primarily documented in adults.
  • No prior published cases detail successful management of symptomatic os trigonum in pediatric populations.

Purpose of the Study:

  • To report on the successful surgical management of symptomatic os trigonum in pediatric patients.
  • To evaluate the efficacy of surgical intervention for this condition in adolescents.

Main Methods:

  • Retrospective review of four pediatric patients aged 11-17 years.
  • Surgical intervention performed via a postero medial approach.
  • One case involved bilateral symptomatic os trigonum.

Main Results:

  • Complete postoperative pain relief was achieved in all four patients.
  • All patients successfully returned to their previous physical activity levels within three months.
  • The average follow-up period was 12 months.

Conclusions:

  • Symptomatic os trigonum is a viable cause of chronic ankle pain in children and adolescents, mirroring adult presentations.
  • Surgical treatment, utilizing a postero medial approach, demonstrates effectiveness in pediatric cases.