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
This study is a stack
Axial PD
fat sat
This study is a stack
Sagittal
PD fat sat
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
T1
This study is a stack
Axial
PD
This study is a stack
Sagittal
PD
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Info

Big os trigonum with subchondral cysts and surrounding reactive changes. Corresponding bone marrow oedema 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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