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Talar compression syndrome.

A E Brodsky, M A Khalil

    The American Journal of Sports Medicine
    |November 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Ballet dancers experiencing ankle pain from toe dancing can find relief through surgical removal of the os trigonum. This procedure effectively treats talar compression syndrome, allowing dancers to return to their profession without symptoms.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Dance Medicine

    Background:

    • Ballet dancers often experience posterior ankle pain due to repetitive plantar flexion in en pointe positions.
    • This can lead to talar compression syndrome, characterized by impingement of the os trigonum or Stieda's process.

    Observation:

    • Symptoms include pain and tenderness localized to the posterolateral ankle, typically asymptomatic in non-dancers.
    • Classical dance's demand for a well-pointed foot exacerbates these conditions.

    Findings:

    • Surgical excision of the os trigonum was performed on six professional ballet dancers with symptomatic talar compression syndrome.
    • All six patients returned to professional dancing within months, remaining asymptomatic post-surgery, with follow-up up to seven years.

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    Implications:

    • Surgical intervention for os trigonum removal is a viable treatment for symptomatic talar compression syndrome in ballet dancers.
    • This allows for a successful return to high-level dance performance and symptom resolution.