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Acute Posterior Ankle Pain in a High School Football Player

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Acute Posterior Ankle Pain in a High School Football Player Stuart Freed, MD Dale Blair, MS, CSCS, ATC Andrew Behler Adam Noble Allen Noble Wenatchee High School Wenatchee, Washington Personal Data/History 16 y/o male varsity football player c/o acute postero-medial pain in the right ankle.  The athlete was cutting on a plantar flexed foot, felt a pop, and then experienced immediate pain.  The athlete continued to compete with discomfort. A Physical Signs and Symptoms athlete presented with exquisite tenderness on palpation of posteromedial aspect of the talus and medial malleolus  No tenderness was present over the lateral aspect of the ankle  Full ROM w/ pain in terminal plantar flexion  The Past History  Athlete had fractured his os trigonum on the contralateral ankle in a non-sports related injury approximately one month earlier. Physical Signs and Symptoms  No instability with ligament laxity tests  Manual muscle tests (especially DF and PF) were limited by pain.  A biomechanical evaluation revealed a forefoot varus. Differential Diagnoses Achilles tendon strain  Flexor hallucis longus strain  Tibialis posterior strain  Deltoid ligament (post. tibio-talar) sprain  Os trigonum fx  Osteochondral lesion of talus  Posterior tibio-talar impingement  Posterior talo-calcaneal ligament avulsion  Diagnostic Imaging/ Laboratory Tests  X-rays revealed a complete fracture of the os trigonum of the talus. Clinical Course course of conservative management including walking boot immobilization for the ankle (neutral position) for three weeks.  Following the removal of the walking boot, he performed pool workouts progressing to running and cutting. A Clinical Course was fitted with orthotics to correct his forefoot varus.  He was also given stretching and strengthening exercises with emphasis on his posterior ankle/calf musculature  Athlete Discussion Os trigonum =Accessory bone found just posterior to talus  Present in 50% of normal feet  It may fuse w/ lateral tubercule or remain as separate ossicle  Os trigonum is round, oval, or triangular and of variable size  It may be considered a non-united portion of the lateral tubercle.  Deviated From Expected The os trigonum is a “normal variant” of bony ankle anatomy  The os trigonum fracture can be easily confused with other posterior pathologies.  Lateral x-rays to confirm diagnosis; Continuing pain w/ neg. x-ray, a bone scan may be a useful evaluative test.  Thank you
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