Painful stress reaction in the posterior subtalar joint after resection of os trigonum or posterior talar process

Frigg, Arno; Maquieira, Gerardo; Horisberger, Monika

doi:10.1007/s00264-017-3489-z

Cited by 8 publications

(8 citation statements)

References 26 publications

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“…Posterior ankle impingement syndrome (PAIS) is a condition that commonly presents in people who undertake activities requiring repetitive ankle plantar flexion (1–3). It can limit participation and is potentially career-threatening in elite populations (4). It manifests as posterior ankle pain with painful movement restriction and subsequent activity limitation (5–8).…”

Section: Introductionmentioning

confidence: 99%

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Associations between clinical and imaging findings in posterior ankle impingement syndrome: a systematic review

Baillie

Mayes

Lam³

et al. 2021

Acta Radiol

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Background Posterior ankle impingement syndrome (PAIS) is a common and debilitating condition, commonly affecting people who participate in activities that involve repetitive ankle plantarflexion. The relationship between clinical and imaging findings in PAIS has not been established. Purpose To investigate the relationship between clinical and imaging features in PAIS by reviewing the literature comparing symptomatic patients to asymptomatic controls. Material and Methods A systematic literature search was performed to identify all English-language articles that compared imaging features in patients diagnosed with PAIS to imaging in an asymptomatic control group. Results A total of 8394 articles were evaluated by title and abstract, and 156 articles were read in full text. No articles compared imaging findings to an asymptomatic control group, thus no articles met the inclusion criteria. Conclusion This systematic review found no published research that compared the imaging findings of people diagnosed with PAIS to asymptomatic people. Until this information is available, imaging features in people with posterior ankle impingement should be interpreted with caution.

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Section: Introductionmentioning

confidence: 99%

“…PAIS is commonly clinically diagnosed in the context of posterior ankle pain associated with ankle plantar flexion (4,(10)(11)(12)(13)(14)(15). Imaging techniques are frequently employed diagnostically or to guide intervention (13,(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Associations between clinical and imaging findings in posterior ankle impingement syndrome: a systematic review

Baillie

Mayes

Lam³

et al. 2021

Acta Radiol

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“…Obviously, excessive osteotomy can ensure the elimination of impact symptoms, but it's more traumatic to the ankle, and the corresponding complications may occur due to extensive osteotomy. Frigg et al's research showed that the resection of os trigonum or posterior talar process had a complication rate of 13.3% with persisting inability to do sports due to painful stress reaction in the posterior subtalar joint 11 . The causes of complications were mainly attributed to the following three reasons.…”

Section: Discussionmentioning

confidence: 99%

CT‐Based Calculation Model Assists Precise Treatment for Anterior and Posterior Ankle Bony Impingement

Xia

2023

Orthopaedic Surgery

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Objective: Ankle arthroscope is the preferred tool for ankle surgeons to treat ankle impingement. However, there is no relevant report on how to improve the accuracy of arthroscopic osteotomy through preoperative planning. The aims of this study were to investigate a novel method to obtain the bone morphology in anterior and posterior ankle bony impingement through computed tomography (CT) calculation model, use this method to guide surgical decisionmaking, and compare the postoperative efficacy and actual bone cutting volume with conventional surgery.Methods: This retrospective cohort study includes 32 consecutive cases with anterior and posterior ankle bony impingement by arthroscopy from January 2017 to December 2019. Mimics software was utilized to calculate the bony morphology and measure the volume of the osteophytes by two trained software engineers. The patients were divided into the precise group (n = 15) and the conventional group (n = 17) according to whether obtain and quantify the osteophytes' morphology with CT based calculation model preoperative. All patients were evaluated clinically using visual analog scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score, active dorsiflexion and plantarflexion angle before and after surgery at both 3 months and 12 months postoperatively. We obtained the shape and volume of bone cutting through Boolean calculation. Clinical outcomes and radiological data were compared between the two groups. Results:The VAS score, AOFAS score, active dorsiflexion angle and plantarflexion angle were significantly improved in both groups postoperatively. In comparison of the VAS score, AOFAS score, and active dorsiflexion angle, the precise group were higher than the conventional group in the follow-up at 3 and 12 months postoperatively with statistical difference. The difference between the virtual bone cutting volume and the actual bone cutting volume of the anterior edge of distal tibia in the conventional group and precise group were 244.20 AE 147.66 mm 3 and 76.53 AE 168.51 mm 3 , respectively, there was statistical difference between the two groups (t = À2.927, p = 0.011). Conclusion:Using a novel method of obtaining and quantifying the bony morphology with CT-based calculation model for anterior and posterior ankle bony impingement can help guide surgical decision-making preoperatively and assist precise bone cutting during the operation, which can improve the efficacy and evaluate the accuracy of osteotomy postoperatively.

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“…11 The diagnostic clinical test is the passive plantarflexion test. [15][16][17] Imaging is frequently used to confirm the diagnosis, 11 especially when an os trigonum or Stieda process is seen 13,18 ; however, clinical severity is not consistent with xray 19,20 or bone scintigraphy findings. 21 Magnetic resonance imaging (MRI) allows better assessment of the soft tissue and bone marrow of the posterior ankle, 18 and certain MRI findings, such as bone marrow edema, accessory muscles, synovitis, and FHL tendon pathology, have been retrospectively described and implicated in PAIS in symptomatic dancers 3,10 and athletes.…”

Section: Introductionmentioning

confidence: 99%

Posterior Ankle Impingement Syndrome Clinical Features Are Not Associated With Imaging Findings in Elite Ballet Dancers and Athletes

Baillie

Ferrar

Cook

et al. 2022

Clinical Journal of Sport Medicine

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Painful stress reaction in the posterior subtalar joint after resection of os trigonum or posterior talar process

Abstract: Retrospective case series; Evidence Level 4.

Cited by 8 publications

References 26 publications

Associations between clinical and imaging findings in posterior ankle impingement syndrome: a systematic review

Associations between clinical and imaging findings in posterior ankle impingement syndrome: a systematic review

CT‐Based Calculation Model Assists Precise Treatment for Anterior and Posterior Ankle Bony Impingement

Posterior Ankle Impingement Syndrome Clinical Features Are Not Associated With Imaging Findings in Elite Ballet Dancers and Athletes

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