Posterior Ankle Impingement Syndrome

Martins, Nádia; Seixas, Maria Inês; Couto, Maura; Monteiro, Paulo

doi:10.1016/j.reuma.2017.07.008

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…En el diagnóstico diferencial tendremos que tener en cuenta lesiones ligamentosas, tendinitis del Aquíleo, bursitis retrocalcánea, artrosis, la presencia del Proceso de Stieda, una fractura ósea, que podría determinar un hueso accesorio similar al Os Trigonum, y otras patologías menos frecuentes como la enfermedad de Sever (3)(4)(5).…”

Section: Discussionunclassified

Síndrome Del Hueso Trígono

Muñoz¹,

López²,

Rubio³

et al. 2018

Eur J Pod

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This article describes the case of a 40-year-old man who complained of pain in the posterior region of the right ankle that was exacerbated by plantar flexion without previous trauma. After a physical examination where tendinous and ligamentous injuries were ruled out, a conventional radiology test was requested with the finding of a Trigone Bone that was responsible for the clinic. In this case more tests were not required to establish the diagnosis and symptomatic relief was achieved with conservative measures.Key Words: Talus, Rare diseases, Ankle joint, Tarsal Bones ResumenEn este artículo se presenta el caso de un varón de 40 años que se quejaba de dolor en la región posterior del tobillo derecho que se exacerbaba con la flexión plantar del tobillo sin traumatismo previo. Tras una exploración física donde se descartaron lesiones tendinosas y ligamentosas, se solicitó una prueba de radiología convencional con el hallazgo de un Hueso Trígono que era el responsable de la clínica. En este caso no se requirieron más pruebas para establecer el diagnóstico y se consiguió el alivio sintomático con medidas conservadoras.Palabras Clave: Astrágalo, Enfermedades raras, Articulación del tobillo, Huesos del Tarso.

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Section: Discussionunclassified

Síndrome Del Hueso Trígono

Muñoz¹,

López²,

Rubio³

et al. 2018

Eur J Pod

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“…Acute impact injury may cause SP fracture and PAIS, which seems like the syndrome of OT (Hess 2011). Patients usually report chronic or recurrent posterior ankle pain increased by forced plantar flexion (Martins et al 2018). Other causes of PAI may result from FHL tenosynovitis, ankle osteochondritis, and subtalar joint disease (Martins et al 2018).…”

Section: Clinical Perspective and Symptomsmentioning

confidence: 99%

“…Patients usually report chronic or recurrent posterior ankle pain increased by forced plantar flexion (Martins et al 2018). Other causes of PAI may result from FHL tenosynovitis, ankle osteochondritis, and subtalar joint disease (Martins et al 2018). PAI typically induces posterior ankle pain exacerbated by plantar flexion or dorsiflexion, posterior tenderness anterior to the Achilles tendon, and a palpable soft-tissue thickening (Robinson and White 2002).…”

Section: Clinical Perspective and Symptomsmentioning

confidence: 99%

“…Moreover, adequate control requires extensive knowledge of hindfoot anatomy (Berkowitz and Kim 2005). Symptoms improve with nonsurgical management, but surgery may be necessary in refractory cases (Martins et al 2018). Nonsurgical management with cast immobilization is frequently successful when the fracture is correctly diagnosed, and large fragments may be amenable to open reduction and internal fixation (Berkowitz and Kim 2005;Prasad et al 2007).…”

Section: Managementmentioning

confidence: 99%

“…A literature review on conservative treatment, like the management of PAI syndrome, includes rest, restriction of activity such as avoidance of forced plantar flexion, technique modification, physiotherapy, orthotics/footwear modification, and NSAID (nonsteroidal anti-inflammatory drugs), except for drug allergies and injections (Ribbans et al 2014). It has been reported that NSAIDs were prescribed to reduce pain and inflammation (Martins et al 2018). Conservative treatment of PAI consists of local corticosteroid injection and 4-6 weeks of immobilization (Mouhsine et al 2004).…”

Section: Managementmentioning

confidence: 99%

See 2 more Smart Citations

The Stieda process of the talus: the anatomical knowledge and clinical significance of an overlooked protrusion

Öğüt

2022

Bull Natl Res Cent

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Background The Stieda process (SP) is an extended lateral tubercle of the posterior process of the talus. Although there are different classifications for SP in the literature, it is essential to know the differential diagnosis of SP from fractures and accessory ossicles. This review aims to classify the SP and to guide the formation, prevalence, etiopathology, symptoms, differential diagnosis, and treatment. Main body of the abstract The authors conducted a literature review that lasted up to September 2022 and used the databases PubMed, Web of Science, and Google Scholar to explore the SP of the talus in all of its aspects. Out of 3802 publications, only 34 could be included, and most of them were studies on posterior ankle impingement syndrome (PAIS). The occurrence, prevalence, etiopathology, clinical significance, symptoms, differential diagnosis, and treatment methods of SP were investigated based on the literature. SP is formed by the fusion of a secondary ossification center at the posterolateral side of the talus with an incidence of 12–36.5%. It is frequently observed in males. It causes reduced plantar flexion, impairment in the inversion of the foot, pain, and swelling in the posterior ankle joint, PAIS, and SP fractures after trauma. Short conclusion SP can be diagnosed by lateral ankle radiography or MRI in patients complaining of PAIS. The initial treatment of the SP should include reducing inflammation, swelling, pain, and limiting activities. If neither modality affects the patient, surgical treatment will be performed, and SP will be resected until the impingement disappears.

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Dolor crónico de tobillo secundario a os trigonum. A propósito de un caso

Galindo

2024

FMC - Formación Médica Continuada en Atención Primaria

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Posterior Ankle Impingement Syndrome

Cited by 4 publications

References 8 publications

Síndrome Del Hueso Trígono

Síndrome Del Hueso Trígono

The Stieda process of the talus: the anatomical knowledge and clinical significance of an overlooked protrusion

Dolor crónico de tobillo secundario a os trigonum. A propósito de un caso

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