Os Trigonum Syndrome in a Male Collegiate Soccer Athlete: A Case Report

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Os trigonum syndrome is an identified cause of pain in the posterior lateral aspect of the ankle. Some signs and symptoms are not specific to one diagnosis. The onset of symptoms may be gradual or sustained from an acute injury like an ankle sprain. “This syndrome is most often seen in runners, soccer players, ballet dancers and football players, especially linemen.” Os trigonum is a small bone that has not necessarily fused to the lateral aspect of the talus. “This bone sometimes forms a separate ossification center with fails to unite with the talus” 1. Nailing down a diagnosis for os trigonum can also be unyielding to the plethora of other diagnosis that follow suit with these signs and symptoms.
History
A 18-year-old male collegiate soccer athlete presented into the athletic training room with ankle pain. This ankle pain was due to a change of direction drill. The soccer team had been out on the field to get in shape for pre-season sprinting. The athlete had plantar flexed and inverted his left ankle. This athlete stated that he had no previous health issues prior to ankle in...

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