OS TRIGONUM: A CASE REPORT OF A SYMPTOMATIC ANATOMICAL VARIATION AND ITS SURGICAL TREATMENT. Os trigonum: Un caso de una variación sintomática y su tratamiento quirúrgico

Autores/as

  • Svetoslav A Slavchev University Hospital of Orthopaedics “Prof. B. Boychev”, Medical University, Sofia
  • Georgi P Georgiev University Hospital of Orthopaedics “Prof. B. Boychev”, Medical University, Sofia

DOI:

https://doi.org/10.31051/1852.8023.v6.n2.14129

Palabras clave:

os trigonum, pie, cirugía, foot, surgery

Resumen

Los huesecillos accesorios del pie son variaciones anatómicas normales de infrecuente importancia clínica. Se sitúan en los sitios de los centros de osificación secundarios del tarso y metatarso. Desde su primera descripción en la literatura científica en 1804, el os trigonum ha sido un frecuente tema de debate por diversos aspectos, de la etiología al tratamiento. Presentamos un raro caso de un os trigonum doloroso con hallazgos clínicos más evidentes que lo habitual. El huesecillo fue extirpado mediante cirugía abierta con alivio completo de los síntomas. Se discuten brevemente algunas peculia-ridades históricas, el diagnóstico, el diagnóstico diferencial, los hallazgos clínicos y las modalidades terapéuticas.


Accessory ossicles of the foot are normal anatomical variations of infrequent clinical significance. They are situated at the sites of secondary ossification centers of the tarsus and metatarsus. Since its first description in the scientific literature in 1804, the os trigonum has been a frequent topic of debate in various aspects from etiology to treatment. We present a rare case of a painful os trigonum with richer than usual clinical findings. The ossicle was excised through open surgery with full relief of symptoms. Some historical peculiarities, the diagnosis, differential diagnosis, clinical findings, and therapeutic modalities are briefly discussed.


Citas

Ahn JH, Kim YC, Kim HY. 2013. Arthroscopic versus posterior endoscopic excision of a symptomatic os trigonum: a retrospective cohort study. Am J Sports Med. 41: 1082-89.

Bellemans J, Reynders-Frederix PA, Stoffelen D, Broos PL, Fabry G. 1993. Os trigonum and soleus tertius anomaly. Acta Orthop Belg. 59: 412-15.

Georgiev GP, Landzhov B, Slavchev S, Malinova L, Ovtscharoff W. 2013. Tarsal tunnel syndrome caused by anomalous muscle: case report. Scripta Scientif Med, 45: 109-10.

Georgiev GP, Stokov L. 2010. Surgical treatment of the accessory navicular bone: case report. J Biomed Clin Res 3: 127-29.

Grogan DP, Walling AK, Ogden JA. 1990. Anatomy of the os trigonum. J Pediatr Orthop. 10: 618-22.

Huang J, Servaes S, Zhuang H. 2014. Os Trigonum Syndrome on Bone SPECT/CT. Clin Nucl Med in press.

Karasick D, Schweitzer ME. 1996. The os trigonum syndrome: imaging features. AJR Am J Roentgenol 166: 125-29.

Köse O. 2012. The accessory ossicles of the foot and ankle; a diagnostic pitfall in emergency department in context of foot and ankle trauma. JAEM 11: 106-14.

McDougall A. 1955. The os trigonum. J Bone Joint Surg Br 37: 257-65.

Rathur S, Clifford P, Chapman C. 2009. Posterior ankle impingement: os trigonum syndrome. Am J Orthop. 38: 252-53.

Richards DT, Guerra JJ, Council D. 2010. Arthroscopic excision of the os trigonum: using the posteromedial portal safely. Am J Orthop 39: 379-81.

Xaviour R, Girijamony VK. 2013. Os trigonum - a case report. Int J Sci Res 2: 310-11.

Yu GV, Meszaros A, Schinke TL, Canales M. 2005. Os Trigonum Syndrome. The Proce-edings of the Annual Meeting of the Podiatry Institute. GA Tucker: The Podiatry Institute Publishing Co. pp. 54-63.

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Publicado

2016-03-28

Número

Sección

Presentación de Casos