Foot and Ankle Surgery
Volume 15, Issue 2 , Pages 82-85, June 2009

Symptomatic os trigonum in children

Department of Pediatric Orthopaedics, Timone Children’s Hospital, 264, Rue St Pierre, 13385 Marseille, France

Received 14 March 2008; accepted 6 August 2008. published online 03 October 2008.

Abstract 

Background

Symptomatic os trigonum is a rare condition well described in adults responsible for chronic ankle pain. To date there is no published case of successfully managed symptomatic os trigonum in children.

Methods

We retrospectively reviewed 4 paediatric patients (11–17) successfully operated on for a symptomatic os trigonum through a postero medial approach. One case was bilateral.

Results

Pain relief was postoperatively obtained in all cases. All of the patients were able to return to physical activities after 3 months. The mean follow up was 12 months.

Conclusion

Symptomatic os trigonum may be responsible for chronic ankle pain in children and adolescents as well as in adults. The surgical treatment is effective in children.

Keywords: Symptomatic os trigonum, Children, Surgical management

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PII: S1268-7731(08)00093-3

doi:10.1016/j.fas.2008.08.002

Foot and Ankle Surgery
Volume 15, Issue 2 , Pages 82-85, June 2009

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