Purpose: The etiology and incidence of os trigonum syndrome in professional athletes is highly variable. There is a paucity of data to ascertain why some athletes evolve towards surgery whilst others remain asymptomatic. We hypothesized that a lateral ligament ankle injury would increase the likelihood for surgery in those athletes with os trigonum syndrome.
Methods: Eighty professional athletes with clinical and radiological signs of os trigonum syndrome were identified to ascertain the incidence of injury to the lateral ligamentous ankle complex (acute and chronic) by magnetic resonance imaging (MRI). This cohort was subdivided into 2 groups; a surgical (n = 40) and a non-surgical (n = 40) cohort. Surgical division was decided if (1) the clinical hyper-plantar flexion test was positive, (2) a positive diagnostic ultrasound-guided injection and (3) no improvement was observed after 6 weeks of conservative rehabilitation.
Results: From the surgical cohort, 37 players (94.1%) had a chronic lateral ankle ligament injury on MRI, whilst 3 players (5.9%) had an acute lateral ankle ligament injury. Binary logistic linear modelling revealed that having a chronic lateral ligament injury increases the likelihood of os trigonum syndrome surgery by ten times compared to those with an acute lateral ligament injury.
Conclusion: Professional athletes with chronic lateral ligament ankle injury have an approximate ten times greater risk for os trigonum syndrome surgery compared to athletes with acute lateral ligament ankle injury.
Level Of Evidence: IV.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706354 | PMC |
| http://dx.doi.org/10.1007/s00167-018-5183-0 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prevalence and clinical aspects of os trigonum: a meta-analysis.
Anat Sci Int
November 2024
Department of Orthopedics and Rehabilitation, Jagiellonian University Medical College, Balzera 15, 34-500, Zakopane, Poland.
Article Synopsis
- Os trigonum (OT) is a common accessory bone in the foot that affects about 9% of people and is more prevalent in East Asia (11%), with soft tissue imaging methods like MRI and CT revealing higher rates compared to X-rays or cadaver analyses.* -
- This study analyzed 41 research articles and found that OT can be present bilaterally in about 32.7% of cases, suggesting a significant anatomical variation.* -
- There is a strong association between OT and posterior ankle impingement syndrome (PAIS), with patients having PAIS being nearly 16 times more likely to also have OT.*
Arthroscopic Management of Posterior Ankle Impingement Syndrome - A Case Series.
J Orthop Case Rep
November 2024
Department of Orthopedics, Shri B M Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India.
Introduction: Posterior ankle impingement is a common cause of chronic ankle pain. Although nonoperative treatment is initially preferred, there are surgical options if the symptoms are persistent. Minimally invasive arthroscopic procedures reduce surgical trauma and enable an early return to routine activities.
View Article and Find Full Text PDFFoot and Ankle MRI Findings in Asymptomatic Professional Ballet Dancers.
Orthop J Sports Med
August 2024
Fortius Clinic FIFA Medical Centre of Excellence, London, UK.
Article Synopsis
- - This study examines foot and ankle MRI scans of asymptomatic ballet dancers to identify the presence of bone marrow edema and determine if these findings lead to symptoms within a year.
- - Out of 62 analyzed feet/ankles, 82% showed at least one area of bone marrow edema, predominantly in the talus, with fluid observed in various ankle joints and around tendons.
- - Despite the high prevalence of abnormal MRI findings, only two dancers developed symptoms in the following year, suggesting that these findings may not always indicate future issues.
Os trigonum: a discussion of its role in posterior ankle impingement syndrome and a meta-analysis of its prevalence.
Surg Radiol Anat
July 2024
Morphology Department, Biomedical Institute, Universidade Federal Fluminense, Alameda Barros Terra, 57 - São Domingos, Niterói, Rio de Janeiro, 24020-150, Brasil.
Article Synopsis
- The study investigates the prevalence of the os trigonum, a small bone that can cause ankle issues, particularly posterior ankle impingement syndrome.
- A comprehensive meta-analysis was conducted using data from 249 papers, narrowing down to 18 studies with a total of 17,626 ankles; it found a pooled prevalence of 10.3% for the os trigonum.
- The findings indicate that while the os trigonum is quite common, diagnosis may vary depending on the type of study conducted, which can be helpful for clinicians dealing with related ankle conditions.
Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography.
Ultrasonography
May 2024
Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Various etiologies and risk factors contribute to foot pain in children and adolescents, including conditions such as Kohler's disease, Sever's disease, Iselin's disease, rigid flat foot, accessory navicular, Freiberg's disease, sesamoiditis, os trigonum syndrome, and more. High-frequency musculoskeletal ultrasonography can show both the bone surface and the surrounding soft tissue clearly from various angles in real-time, thereby providing a higher level of detail that is helpful for identifying the etiology of foot pain and monitoring disease progression compared with other imaging modalities. This review provides an overview of the epidemiology, pathophysiology, clinical manifestations and characteristic ultrasonographic findings of select foot pain conditions in children and adolescents.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!