Os trigonum

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Trauma history.

Patient Data

Age: 20 years
Gender: Female

Left ankle X-ray

x-ray

Os trigonum is present. Signs of posterior joint effusion are also noted. 

Annotated image

Os trigonum is delineated. 

Case Discussion

Os trigonum is one of the bony ossicles of the foot and can be mistaken for a fracture. It sits posterior to the talus on the lateral foot radiograph and represents failure of fusion of the lateral tubercle of the posterior talar process.

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