Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: Operative technique and case study
This article presents an operative technique for modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon sheath. The procedure uses two stacked posterolateral subtalar joint portals, rather than the customary anterolateral and posterolateral por...
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| Veröffentlicht in: | The Journal of foot and ankle surgery 1999-09, Vol.38 (5), p.347-351 |
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| container_end_page | 351 |
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| container_issue | 5 |
| container_start_page | 347 |
| container_title | The Journal of foot and ankle surgery |
| container_volume | 38 |
| creator | Lombardi, Charles M. Silhanek, Alison D. Connolly, Fiona G. |
| description | This article presents an operative technique for modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon sheath. The procedure uses two stacked posterolateral subtalar joint portals, rather than the customary anterolateral and posterolateral portal combination. By visualizing the os trigonum with an arthroscope positioned in a distal portal and introducing instrumentation through a proximal portal, the ossicle may be quickly exposed and excised with minimal dissection. A case study with a 22-month follow-up and a discussion of os trigonum syndrome are included to illustrate this procedure as an alternative to open excision or traditional arthroscopic excision. |
| doi_str_mv | 10.1016/S1067-2516(99)80006-4 |
| format | Article |
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The procedure uses two stacked posterolateral subtalar joint portals, rather than the customary anterolateral and posterolateral portal combination. By visualizing the os trigonum with an arthroscope positioned in a distal portal and introducing instrumentation through a proximal portal, the ossicle may be quickly exposed and excised with minimal dissection. A case study with a 22-month follow-up and a discussion of os trigonum syndrome are included to illustrate this procedure as an alternative to open excision or traditional arthroscopic excision.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1016/S1067-2516(99)80006-4</identifier><identifier>PMID: 10553548</identifier><language>eng</language><publisher>Baltimore, MD: Elsevier Inc</publisher><subject>Adult ; Ankle Injuries - surgery ; arthroscopy ; Arthroscopy - methods ; Athletic Injuries - surgery ; Biological and medical sciences ; Humans ; Male ; Medical sciences ; Orthopedic surgery ; os trigonum ; Sprains and Strains - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Talus - surgery ; talus fracture ; Tendons - surgery</subject><ispartof>The Journal of foot and ankle surgery, 1999-09, Vol.38 (5), p.347-351</ispartof><rights>1999 American College of Foot and Ankle Surgeons. 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The procedure uses two stacked posterolateral subtalar joint portals, rather than the customary anterolateral and posterolateral portal combination. By visualizing the os trigonum with an arthroscope positioned in a distal portal and introducing instrumentation through a proximal portal, the ossicle may be quickly exposed and excised with minimal dissection. A case study with a 22-month follow-up and a discussion of os trigonum syndrome are included to illustrate this procedure as an alternative to open excision or traditional arthroscopic excision.</description><subject>Adult</subject><subject>Ankle Injuries - surgery</subject><subject>arthroscopy</subject><subject>Arthroscopy - methods</subject><subject>Athletic Injuries - surgery</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>os trigonum</subject><subject>Sprains and Strains - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Talus - surgery</subject><subject>talus fracture</subject><subject>Tendons - surgery</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2P1iAUhRujcT70J2hYGKOLKlAoxY0xk_EjGTMLdU3o5XZeTAsV2sm8f8NfLO_HRHeuIPCcc2_OqapnjL5hlLVvvzHaqppL1r7S-nVHKW1r8aA6ZVLwmnMuHpb7PXJSneX8k1LOdScfVyeMStlI0Z1Wv79G5wePjti0bFLMEGcPBO_AZx8DiQNZNkjydpqXONml_MVMluRvYlgnYoMjCUe0Ge_RYcS7mMjGjuNaTMgYw81aJBhcDO_I9Yyp2NxieYFN8L9W3LvAziIvq9s-qR4Ndsz49HieVz8-Xn6_-FxfXX_6cvHhqoaGyqVWurOKgZSyhw5AKKkpoOgHhQPTgIo5bPqBWRAtUy3nqHrFWtdqJnohVHNevTz4zimWLfJiJp8Bx9EGjGs2reaiYaIpoDyAUPLJCQczJz_ZtDWMml0ZZl-G2SVttDb7MowouufHAWs_oftHdUi_AC-OgM1gxyHZUBL7y7FOUrXD3h8wLGncekwmg8cA6HxCWIyL_j-b_AF4mqlg</recordid><startdate>199909</startdate><enddate>199909</enddate><creator>Lombardi, Charles M.</creator><creator>Silhanek, Alison D.</creator><creator>Connolly, Fiona G.</creator><general>Elsevier Inc</general><general>Data Trace</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199909</creationdate><title>Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: Operative technique and case study</title><author>Lombardi, Charles M. ; Silhanek, Alison D. ; Connolly, Fiona G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-798a71c555bc8cc47590ce4bf7ef19ce71de3bf1ac4617622e7b716d6914b4473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Ankle Injuries - surgery</topic><topic>arthroscopy</topic><topic>Arthroscopy - methods</topic><topic>Athletic Injuries - surgery</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>os trigonum</topic><topic>Sprains and Strains - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Talus - surgery</topic><topic>talus fracture</topic><topic>Tendons - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lombardi, Charles M.</creatorcontrib><creatorcontrib>Silhanek, Alison D.</creatorcontrib><creatorcontrib>Connolly, Fiona G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lombardi, Charles M.</au><au>Silhanek, Alison D.</au><au>Connolly, Fiona G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: Operative technique and case study</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>1999-09</date><risdate>1999</risdate><volume>38</volume><issue>5</issue><spage>347</spage><epage>351</epage><pages>347-351</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>This article presents an operative technique for modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon sheath. 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| identifier | ISSN: 1067-2516 |
| ispartof | The Journal of foot and ankle surgery, 1999-09, Vol.38 (5), p.347-351 |
| issn | 1067-2516 1542-2224 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Ankle Injuries - surgery arthroscopy Arthroscopy - methods Athletic Injuries - surgery Biological and medical sciences Humans Male Medical sciences Orthopedic surgery os trigonum Sprains and Strains - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Talus - surgery talus fracture Tendons - surgery |
| title | Modified arthroscopic excision of the symptomatic os trigonum and release of the flexor hallucis longus tendon: Operative technique and case study |
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