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By David Bennett Pediatric Orthopaedic Surgeon in the United States
https://www.readbyqxmd.com/read/25157036/os-trigonum-syndrome
#1
REVIEW
Marie-Lyne Nault, Mininder S Kocher, Lyle J Micheli
Os trigonum syndrome is the result of an overuse injury of the posterior ankle caused by repetitive plantar flexion stress. It is predominantly seen in ballet dancers and soccer players and is primarily a clinical diagnosis of exacerbated posterior ankle pain while dancing on pointe or demi-pointe or while doing push-off maneuvers. Symptoms may improve with rest or activity modification. Imaging studies, including a lateral radiographic view of the ankle in maximal plantar flexion, will typically reveal the os trigonum between the posterior tibial lip and calcaneus...
September 2014: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/23965709/chronic-symptomatic-os-subfibulare-in-children
#2
Stephan G Pill, Michael Hatch, Julie M Linton, Richard S Davidson
BACKGROUND: Some children have persistent pain and instability following inversion injuries of the ankle. Radiographs may reveal a small osseous fragment distal to the lateral malleolus, suggesting an avulsion injury of the anterior talofibular ligament and/or calcaneofibular ligament. The avulsion injury may involve an os subfibulare, causing ligamentous laxity and chronic pain resulting from nonunion. This situation must be differentiated from an asymptomatic os subfibulare, which is a normal anatomic variant in 1% of children...
August 21, 2013: Journal of Bone and Joint Surgery. American Volume
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