Os trigonum syndrome

Case contributed by Nico Behnke
Diagnosis almost certain

Presentation

Long standing posterior ankle pain

Patient Data

Age: 45 years
Gender: Female
mri

Big os trigonum with subchondral cysts and surrounding reactive changes. Corresponding bone marrow edema in the articulating posterior talus and distal dorsal tibia. Osteochondral lesion of the medial talar dome.

Case Discussion

There are different types of posterior ankle impingement, an os trigonum is a predisposing factor for one type of posterior ankle impingement.

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