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os trigonum

Here it is in a nutshell.
My daughter who is “13” is a competitive cheerleader.
She was doing a tumbling sequence and came out of her twist and hit short on the floor.
She has been to the sports medicine dr and to the orthopedic.
We have had two diagnoses – one she has facture her ostrignoum the other she bruised it.
She has had regular x-rays and a MRI.
They also indicated she has fluid build up.
One day we need to have surgery and the next she just bruised it.
The orthopedic put her in a cast for two weeks with no weight and will revisit it after the two weeks.
I guess my question and you probally won’t be able to give me answer because you don’t have the films to look at.
How can one doctor see a facture and one can’t.
I just really confused!!!!


1 Comment found

    Vivian Abrams DPM

    9 10

    I understand your concern. I have a patient at this time who has the same problem. The os trigonum is the posterior process of the talus. The long flexor tendon to the big toe runs through it. If it is attached to the talus it is called a Stieda’s process. If it exists as a seperate bone it is an os trigonum. It can bridge to the main body of the talus either through a fibrous or cartilage attachment. The best way to see how to proceed to to rest it first. A CT scan might be also helpful. This is not an easy thing to diagnose

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