Posterior Block of the Ankle Joint in Dancers

Foot & Ankle ◽  
1982 ◽  
Vol 3 (2) ◽  
pp. 81-84 ◽  
Author(s):  
A.J.G. Howse
Keyword(s):  
Ankle Joint ◽  
Posterior Part ◽  
Ankle Pain ◽  
Os Calcis ◽  
Os Trigonum ◽  
Presenting Symptoms ◽  
Plantar Aspect ◽  
After Care ◽  
Achilles Tendonitis

A posterior block of the ankle joint caused by an os trigonum, a large posterior tubercle of the talus, or prominence on the dorsum of the posterior part of the os calcis is described. The presenting symptoms are listed, the most important being Achilles tendonitis anterolateral ankle pain, recurrent calf strain, and pain under the plantar aspect of the foot. All these can be associated with difficulty in pointing the foot. Details are given of the operation and the after care.

A RARE CAUSE OF ANKLE PAIN: OS TRIGONUM SYNDROME

2015 ◽  
Author(s):  
Feyza Ünlü Özkan ◽  
Fatma Nur Soylu Boy ◽  
Meryem Yılmaz Kaysın ◽  
İlknur Aktaş
Keyword(s):  
Ankle Pain ◽  
Os Trigonum

scholarly journals Ligaments of the os trigonum: an anatomical study

2021 ◽  
Author(s):  
Paweł Szaro ◽  
Khaldun Ghali Gataa ◽  
Mateusz Polaczek
Keyword(s):  
Posterior Part ◽  
Anatomical Study ◽  
Control Group ◽  
Flexor Hallucis Longus ◽  
Resonance Imaging ◽  
Os Trigonum ◽  
Posterior Process ◽  
Magnetic Resonance Imaging Mri ◽  
Experimental Group ◽  
Posterior Talofibular Ligament

Abstract Purpose The aim of the study was to examine the ligaments of the os trigonum. Methods The ankle joint magnetic resonance imaging (MRI) of 104 patients with the os trigonum (experimental group) and 104 patients without the os trigonum (control group) were re-reviewed. The connections of the os trigonum and posterior talofibular ligament (PTFL), the fibulotalocalcaneal ligament (FTCL), the paratenon of the Achilles tendon, the posterior talocalcaneal ligament (PTCL), the osteofibrous tunnel of the flexor hallucis longus (OF-FHL) and the flexor retinaculum (FR) were studied. Results The os trigonum is connected to structures. The posterior part of the PTFL inserted on the os trigonum in 85.6% of patients, whereas in all patients in the control group, the posterior part of the PTFL inserted on the posterior talar process (p < 0.05). The connection of the PTCL was seen in 94.2% of patients in the experimental group, while it was seen in 90.4% of patients in the control group (p > 0.05). The connection to the FTCL in the experimental group was 89.4%, while in the control group, it was 91.3% (p > 0.05). The communication with the paratenon was seen more often in the control group compared to that in the experimental group (31.7% vs. 63.8%, p < 0.001). The FTCL was prolonged medially into the FR in 85.6% of patients in the experimental group and in 87.5% of patients in the control group (p > 0.05). The flexor hallucis longus (FHL) run at the level of articulation between the os trigonum 63.5% and the posterior process of the talus 25% and less often on the os trigonum 11.5%. Conclusion The os trigonum is connected with all posterior ankle structures and more connections than previously reported.

Role of ultrasonography in assessment of painful ankle

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Amin Nassef ◽  
Shaimaa El Metwaly El Diasty ◽  
Marina Sameh Lamei
Keyword(s):  
Ankle Joint ◽  
Joint Pain ◽  
Pathological Condition ◽  
Ankle Injuries ◽  
Ankle Pain ◽  
Cross Sectional ◽  
Screening Study ◽  
Underlying Causes ◽  
Post Traumatic

Abstract Background Ankle disorders are a relatively common pathological condition, and ankle injuries account for approximately 14% of sports-related orthopedic emergency visits. Various imaging modalities can be used to make a diagnosis in cases of ankle pain; however, ultrasound (US) has several benefits for the evaluation of ankle pain, especially in the tendons, ligaments, and nerves of the ankle. Aim of the work to assess the role of high resolution US as a valuable tool in the depiction of causes of ankle joint pain. Patient & methods our study is a cross sectional descriptive screening study including 25 patients with ankle joint pain (acute or chronic), post traumatic or not with no age or sex predilection. Results The study included 15 (60%) males and 10 (40%) females. Their age ranged from 10 to 60 years with a mean age of 33.84±13.31years. Chronic ankle pain was the most common presenting symptom in 15 patients (60%) whereas 10 (40%) patients presented with acute ankle pain after trauma. The posterior ankle compartment was the most common affected compartment (24%) of cases. About 7 cases (28%) were presented by ankle swelling with or without pain. Conclusion In conclusion, MSK US is useful in detecting the underlying causes of ankle pain and still it has the potential to offer more valuable data if it is well mastered by the sonographers.

scholarly journals The Silverskold Test, Are We All Doing it the Same?

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Nicholas Cheney ◽  
Kyle Rockwell ◽  
John Weis ◽  
Dylan Lewis ◽  
Joseph Long ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Senior Author ◽  
Foot And Ankle ◽  
Talonavicular Joint ◽  
Ankle Pain ◽  
Wide Range ◽  
Growing Body ◽  
Equinus Contracture ◽  
The Difference

Category: Pathophysiology Introduction/Purpose: Gastrocnemius eqiunus has been associated with a wide range of foot and ankle pathologies in the literature, however, many still question it’s involvement or existence. A recent response in Foot & Ankle International pointed out an incorrect demonstration of the Silfverskold test in a prior study. With a growing body of literature supporting gastrocnemius equinus as a contributing factor in foot and ankle pain, why do many feel that it still does not exist? It was our hypothesis that unless the examination is performed correctly, the diagnosis can be missed and could be the potential cause for disbelief in its existence or effect on foot and ankle pain. We sought to demonstrate the difference in examination findings when performing the test correctly and incorrectly. Methods: Thirty consecutive patients with conditions associated with gastrocnemius equinus in the literature were included in the study. Each patient was consented and had a Silverskold test performed correctly by inverting and locking the subtalar joint as well as stabilizing the talonavicular joint in order to isolate the ankle joint. We then performed the exam incorrectly without stabilizing the same two joints, allowing motion through the ipsilateral hindfoot and midfoot joints. A long arm goniometer was used to measure the angles with each arm along the length of the fibula and fifth metatarsal. The senior author performed all of the examinations to maintain consistency. The angles were recorded for later review. Results: We found that when the subtalar and talonavicular joints were stabilized, there was almost fifteen degrees less dorsiflexion than when the same joints were not stabilized. The average dorsiflexion when performed in the correct manner was seventy-eight degrees, while the average dorsiflexion with the exam performed incorrectly was ninety-three degrees. Conclusion: We demonstrated that if the examination is not performed correctly, the equinus contracture could go undiagnosed as motion through the hindfoot and midfoot joints can alter the findings. It is important to understand and perform the technique correctly to evaluate for the contracture as it has been shown to be a contributing factor in many foot and ankle problems. If we standardize the examination, there may be less disagreement about its existence or affect on foot and ankle pain.

scholarly journals Radiological study of Os trigonum and its clinical significance

2021 ◽  
Vol 12 (12) ◽  
pp. 173-176
Author(s):  
Mallikarjun Adibatti ◽  
Muthiah Pitchandi ◽  
V Bhuvaneswari
Keyword(s):  
Correct Diagnosis ◽  
Distal Tibia ◽  
Causative Factor ◽  
Ossification Center ◽  
Flexor Hallucis Longus ◽  
Ankle Pain ◽  
Posterior Aspect ◽  
Os Trigonum ◽  
Orthopedic Surgeons ◽  
Secondary Ossification Center

Background: Os trigonum (OST) is commonly located on the posterior aspect of the talus. It occurs as a result of secondary ossification center failing to fuse with the lateral tubercle of the posterior process of the talus; its incidence varies between 2 and 25%, and is more often bilateral. It occurs as an intra-articular Os, which is most often securely rooted to the lateral tubercle of the talus by a fibrocartilaginous synchondrosis. Aims and Objective: To determine the incidence, morphology, and distribution of Os Trigonum (OST). Materials and Methods: Retrospective 500 lateral foot radiographs view were studied to determine the incidence, morphology, and distribution of OST. Results: Incidence of OST in the present study was 6.6%, with predominantly round or ovoid in shape. OST was located on the posterolateral aspect of the talus. Conclusion: OST can be one of the causative factor responsible for Flexor hallucis longus tendonitis, OST syndrome, which occur in plantarflexion of the ankle, leading to compression of the OST between the distal tibia and the calcaneus. Hence, knowledge regarding the incidence, morphology, and distribution of OST is important for the radiologist, orthopedic surgeons to arrive at a correct diagnosis, which aids in the management of cases presenting with complaints of posterior ankle pain.

The os trigonum syndrome. A literature review

1992 ◽  
Vol 82 (3) ◽  
pp. 154-161 ◽  
Author(s):  
RL Blake ◽  
PJ Lallas ◽  
H Ferguson
Keyword(s):  
Literature Review ◽  
Recent Literature ◽  
Ankle Pain ◽  
Os Trigonum

The os trigonum syndrome, a musculoskeletal ankle disorder causing posterior ankle pain, is an entity that may present as numerous disorders. To accurately diagnose and treat the syndrome, its anatomy, origin, nomenclature, and biomechanics must be thoroughly understood. For this purpose, a review of recent literature is presented.

scholarly journals The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Anne-Maree Keenan ◽  
Chris Drake ◽  
Philip G. Conaghan ◽  
Alan Tennant
Keyword(s):  
Ankle Joint ◽  
Joint Pain ◽  
Community Sample ◽  
Age Group ◽  
Foot Pain ◽  
Foot And Ankle ◽  
Ankle Pain ◽  
Large Community ◽  
Increased Risk ◽  
The Impact

Abstract Background While the prevalence and impact of musculoskeletal problems are high, most attention has been directed towards the back, knee and hip disorders. Foot pain is known to be common in older adults and accounts for a significant burden on health services. The aim of this study was to assess the impact of foot and ankle joint pain, considering age, presence of co-morbidities and other site joint pain, in a large community sample. Methods In the North Yorkshire Health study, 16,222 people over 55 years participated in a detailed survey of the prevalence and impact of lower limb joint problems. Self-assessment of overall body pain and functional activities of daily living were assessed. Participants indicated the presence of joint pain, stiffness or swelling during the last 3 months which had lasted for more than 6 weeks on a manikin: data were captured on the foot and the ankle. Results The prevalence of self-reported foot and ankle joint pain was substantial: 184.33 per 1000, second only to knee problems. While foot pain was common, it was mostly associated with joint pain at other sites; only 1 in 11 of those with foot and ankle pain reported it only in the foot. Logistic regression modeling revealed while established factors such as co-morbidities, knee and hip problems contributed to functional impairment, foot and ankle problems contributed to an additional increased risk of having difficulty standing and walking by two fold (OR = 2.314, 95%CI 2.061–2.598), going up and down stairs by 71% (OR = 1.711, 95%CI 1.478–1.980) and getting up from a seated position by 44% (OR = 1.438, 95%CI 1.197–1.729). Conclusion These results suggest that not only are foot problems in the over 55 age group extremely prevalent, they have a considerable impact on functional abilities.

scholarly journals A case of intra-articular angioleiomyoma of the talocrural joint

Joints ◽  
2016 ◽  
Vol 04 (04) ◽  
pp. 253-255
Author(s):  
Irene Thung ◽  
Sepi Mahooti ◽  
Xiangdong Xu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Smooth Muscle ◽  
Ankle Joint ◽  
Soft Tissue Mass ◽  
Resonance Imaging ◽  
Ankle Pain ◽  
Tissue Mass ◽  
Talocrural Joint ◽  
First Case ◽  
Vascular Channels

Angioleiomyoma is a benign pericytic neoplasm with smooth muscle differentiation. Intra-articular angioleiomyoma is exceptionally rare with only four cases reported, all involving the knee joint. Here we report the first case of intra-articular angioleiomyoma entirely localized within the ankle joint. An 83-year-old male presented with progressively worsening ankle pain. Subsequent magnetic resonance imaging showed a soft tissue mass within the talocrural joint. Histologic examination and ancillary testing demonstrated fascicles of smooth muscle cells and interspersed, often compressed, vascular channels, consistent with an angioleiomyoma. This case highlights the importance of including angioleiomyoma in the differential diagnosis of an ankle joint mass.

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