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Posterior Ankle Impingement: Os Trigonum Syndrome

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Arthroscopic Techniques and Anatomy of the Foot and Ankle

Abstract

Painful os trigonum syndrome is commonly seen in athletes, particularly ballet dancers and runners, and can manifest in both overuse and traumatic settings. Inflammation and impingement in the posterior ankle cause persistent pain and restricted plantarflexion of the ankle. Surgical resection is indicated after failed nonoperative management, typically after a minimum of 3 months. Excellent outcomes have been reported with both open and arthroscopic resections. Arthroscopic techniques are less invasive with a low complication rate and may facilitate an early return to the previous activity level. This chapter reviews detailed anatomy, clinical exam, and surgical approach to the management of the painful os trigonum.

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Wei, B., Murawski, C.D., Chen, J., Amendola, A., Vulcano, E. (2022). Posterior Ankle Impingement: Os Trigonum Syndrome. In: Arthroscopic Techniques and Anatomy of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-05190-6_13

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  • DOI: https://doi.org/10.1007/978-3-031-05190-6_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-05189-0

  • Online ISBN: 978-3-031-05190-6

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