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Os trigonum syndrome: A retrospective and comparative study

Year 2012, Volume: 39 Issue: 1, 89 - 92, 01.03.2012
https://doi.org/10.5798/diclemedj.0921.2012.01.0101

Abstract

Objectives: The aim of this study was to evaluate the os trigonum syndrome by magnetic resonance imaging (MRI). Materials and methods: A total of 76 ankle MRI images were evaluated, retrospectively. All MRI examinations were done in supine position with the injured foot in neutral position and then in forced plantar flexion. Results: Os trigonum syndrome was seen in 16/76 cases. Four of 16 os trigonum syndrome patients are female. The average age of this 16 patients who were defined as os trigonum syndrome by MRI was 34.81±14.16 years. Twelve of 16 os trigonum syndrome was seen in right ankle. Disruption of the cartilaginous synchondrosis between the ac-cessory bone and the talus was observed in 12 patients. Tenosynovitis of the flexor halluces longus was associated in 7 patients. Subcutan edema, surrounding the os trigonum was detected in 11 patients. Conclusion: In patients with ostrigonum syndrome MR imaging allows complete diagnosis.

References

  • David W. Stollerand R D. Ferkel. The Ankle and Foot. In: Magnetic Resonance Imaging in Orthopaedics and Sports Medicine, Vol. 1,3th edition. Lippincott Williams and Wilkins, 2007:940-7.
  • Tamer Kaya. Ayak Bileği: Kas İskelet-Yumuşak Doku Rad- yolojisi 2008;388-9
  • Karasick D, Schweitzer ME. The ostrigonum syndrome: im- aging features. AJR Am J Roentgenol 1996 ;166(1):125-9.
  • Hedrick MR, McBryde AM.Posterior ankle impingement. Foot Ankle Int 1994;15(1):2-8.
  • Marotta JJ, Micheli LJ. Os trigonum impingement in danc- ers. Am J Sports Med 1992;20(5):533-6.
  • Akpınar F, Tosun N, İslam C, Aydınlıoğlu A .Os trigonum sendromu. AÜTD 1995;27(1):50-4.
  • Grogan DP, Walling AK, Ogden JA. Anatomy of the os trigo- num. J Pediatr Orthop 1990;10(5):618-22.
  • Lawson JP. International Skeletal Society Lecture in honor of Howard D. Dorfman. Clinically significant radiologic anatomic variants of the skeleton. AJR Am J Roentgenol 1994;163(2):249-55.
  • Chiereghin A, Martins MR, Gomes CM, Rosa RF, Loduca SM, Chahade WH. Posterior ankle impingement syndrome: a diagnosis rheumatologists should not forget. Two case re- ports. Rev Bras Reumatol 2011;51(3):283-8.

Os trigonum syndrome: A retrospective and comparative study

Year 2012, Volume: 39 Issue: 1, 89 - 92, 01.03.2012
https://doi.org/10.5798/diclemedj.0921.2012.01.0101

Abstract

Amaç: Bu çalışmanın amacı, magnetik rezonans görüntüleme (MRI) ile ostrigonum sendromu hastalarının MRI özel-liklerinin değerlendirmesidir. Gereç ve yöntem: Retrospektif olarak 76 ayak bileği MRI görüntüsü alınarak değerlendirildi. Hasta supin pozisyonda iken önce nötral sonra fleksiyonda MRI çekim yapıldı. Bulgular: Toplam 76 ayak bileği MRI görüntüsünden 16 (%21)\'sında os trigonum sendromu ile uyumlu görüntü vardı. Os trigonum sendromu olan hastaların yaş ortalaması 34.60±13.21 yıl idi. Os trigonum sendromu olan olan hastaları-nın 4\' ü kadın, 12\' isi erkekti. 16 os trigonum sendromundan 12\'isinde lezyon sağda idi. Os trigonum sendromlu olgu-larının MRI özellikleri detaylı olarak değerlendirildiğinde; 12 hastada ostrigonum ve talus arasındaki sinkondroz ek-lemde dejeneratif değişiklikler, 7 hastada fleksör hallusis longus tenosinoviti, 11 hastada ayak bileği posteriorunda cil-taltı dokuda ödem ile uyumlu hiperintensite izlendi. Sonuç: MR görüntüleme os trigonum sendromu tanısında belirleyici olarak kabul edilebilir.

References

  • David W. Stollerand R D. Ferkel. The Ankle and Foot. In: Magnetic Resonance Imaging in Orthopaedics and Sports Medicine, Vol. 1,3th edition. Lippincott Williams and Wilkins, 2007:940-7.
  • Tamer Kaya. Ayak Bileği: Kas İskelet-Yumuşak Doku Rad- yolojisi 2008;388-9
  • Karasick D, Schweitzer ME. The ostrigonum syndrome: im- aging features. AJR Am J Roentgenol 1996 ;166(1):125-9.
  • Hedrick MR, McBryde AM.Posterior ankle impingement. Foot Ankle Int 1994;15(1):2-8.
  • Marotta JJ, Micheli LJ. Os trigonum impingement in danc- ers. Am J Sports Med 1992;20(5):533-6.
  • Akpınar F, Tosun N, İslam C, Aydınlıoğlu A .Os trigonum sendromu. AÜTD 1995;27(1):50-4.
  • Grogan DP, Walling AK, Ogden JA. Anatomy of the os trigo- num. J Pediatr Orthop 1990;10(5):618-22.
  • Lawson JP. International Skeletal Society Lecture in honor of Howard D. Dorfman. Clinically significant radiologic anatomic variants of the skeleton. AJR Am J Roentgenol 1994;163(2):249-55.
  • Chiereghin A, Martins MR, Gomes CM, Rosa RF, Loduca SM, Chahade WH. Posterior ankle impingement syndrome: a diagnosis rheumatologists should not forget. Two case re- ports. Rev Bras Reumatol 2011;51(3):283-8.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Fatime Yakut This is me

Mehmet Mustafa Özlü This is me

Nihat Taşdemir This is me

Publication Date March 1, 2012
Submission Date March 2, 2015
Published in Issue Year 2012 Volume: 39 Issue: 1

Cite

APA Yakut, F., Özlü, M. M., & Taşdemir, N. (2012). Os trigonum syndrome: A retrospective and comparative study. Dicle Tıp Dergisi, 39(1), 89-92. https://doi.org/10.5798/diclemedj.0921.2012.01.0101
AMA Yakut F, Özlü MM, Taşdemir N. Os trigonum syndrome: A retrospective and comparative study. diclemedj. March 2012;39(1):89-92. doi:10.5798/diclemedj.0921.2012.01.0101
Chicago Yakut, Fatime, Mehmet Mustafa Özlü, and Nihat Taşdemir. “Os Trigonum Syndrome: A Retrospective and Comparative Study”. Dicle Tıp Dergisi 39, no. 1 (March 2012): 89-92. https://doi.org/10.5798/diclemedj.0921.2012.01.0101.
EndNote Yakut F, Özlü MM, Taşdemir N (March 1, 2012) Os trigonum syndrome: A retrospective and comparative study. Dicle Tıp Dergisi 39 1 89–92.
IEEE F. Yakut, M. M. Özlü, and N. Taşdemir, “Os trigonum syndrome: A retrospective and comparative study”, diclemedj, vol. 39, no. 1, pp. 89–92, 2012, doi: 10.5798/diclemedj.0921.2012.01.0101.
ISNAD Yakut, Fatime et al. “Os Trigonum Syndrome: A Retrospective and Comparative Study”. Dicle Tıp Dergisi 39/1 (March 2012), 89-92. https://doi.org/10.5798/diclemedj.0921.2012.01.0101.
JAMA Yakut F, Özlü MM, Taşdemir N. Os trigonum syndrome: A retrospective and comparative study. diclemedj. 2012;39:89–92.
MLA Yakut, Fatime et al. “Os Trigonum Syndrome: A Retrospective and Comparative Study”. Dicle Tıp Dergisi, vol. 39, no. 1, 2012, pp. 89-92, doi:10.5798/diclemedj.0921.2012.01.0101.
Vancouver Yakut F, Özlü MM, Taşdemir N. Os trigonum syndrome: A retrospective and comparative study. diclemedj. 2012;39(1):89-92.