What is os trigonum excision?
What is os trigonum excision?
Os Trigonum surgery is used to remove a painful ostrigonum (small bone at the back of the foot). The ostrigonum is an accessory (extra) bone that sometimes develops behind the talus (ankle bone) during adolescence.
Does os trigonum require surgery?
Surgery. Symptoms usually improve with non-surgical treatment. However, in some patients, surgery may be required to relieve the symptoms. Surgery typically involves removal of the scar or inflammatory tissue, and os trigonum if present, as this extra bone is not necessary for normal foot function.
How is os trigonum syndrome treated?
Treatment of Os Trigonum Syndrome usually begins with nonsurgical treatment. Non-surgical treatment options include rest, immobilization/bracing, anti-inflammatory medications, physical therapy and corticosteroid injections. Surgery may be determined necessary, typically after 3-6 months of non-surgical treatment.
Is os trigonum serious?
Os trigonum syndrome is a rare and painful condition that can affect people who have an os trigonum bone. The os trigonum is an accessory (extra) bone that’s present in about 15 to 30% of people in at least one foot. 1 It is a small, round bone that sits just behind the ankle joint.
Can os trigonum syndrome get better?
Most patients’ symptoms improve with nonsurgical treatment. However, in some patients, surgery may be required to relieve the symptoms. Surgery typically involves removal of the os trigonum, as this extra bone is not necessary for normal foot function.
Can os trigonum regrow?
Recovery is relatively quick with a full return to activity. By removing the painful bone via surgical excision, there is a low risk of regrowth or recurrence. Removal of the offending bone addresses the cause of the pain as opposed to just treating the symptoms.
What causes os trigonum syndrome?
Os trigonum syndrome is usually triggered by an injury, such as an ankle sprain. The syndrome is also frequently caused by repeated downward pointing of the toes, which is common among ballet dancers, soccer players and other athletes.
Does os trigonum go away?
What causes os trigonum?
Does os trigonum cause pain?
Approximately 1 in 5 of the general population has an Os Trigonum. In most people, this extra bone is like an appendix – it doesn’t cause a problem. However, similar to the appendix, it can cause pain after an ankle twist or in certain sports such as ballet, running, or football.
How is the excision of Os Trigonum surgery help?
Rongeur was utilized to remove the spurring along the posterior aspect of the calcaneus and talus. A bone rasper was utilized to smooth down the bone in the joint. Verification of removal of the spur was done under the C-arm. Good range of motion of the subtalar joint and the ankle joint was noted.
Can a curette be used to probe the os trigonum?
An elevator or curette can then be used to probe the os trigonum and its fibrous junction to the posterior talus. This junction can be loosened and the os trigonum mobilized free with a combination of the freer, curette, resector, and/or electrocautery.
How is the diagnosis of Os Trigonum Syndrome made?
Indications. Diagnosis of os trigonum syndrome is primarily made by history and physical exam, and confirmed by radiography with or without multiplanar imaging modalities. A classic symptom is characterized by posterior ankle pain, deep to the Achilles, which is exacerbated by forced plantar flexion of the foot.
When does the os trigonum become an extra bone?
The os trigonum is an accessory (extra) bone that sometimes develops behind the talus (ankle bone) during adolescence. According to recent studies, approximately 30% of people have this extra bone. Pain might also occur if the flexor hallucis longus (FHL) tendon gets irritated.