Mehmet Ali Tokgöz1, Muhammet Baybars Ataoğlu2, Yılmaz Ergişi3, Hasan Hüseyin Bozkurt2, Ulunay Kanatlı2. 1. Department of Orthopaedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey. Electronic address: mehmetalitokgoz@gazi.edu.tr. 2. Department of Orthopaedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey. 3. Sungurlu State Hospital, Turkey.
Abstract
BACKGROUND: It was hypnotized that presence and larger size of os trigonum (OT) can affect flexor hallucis longus tendon (FHL), so tenosynovitis, degeneration and partial tear can be developed. METHODS: A total of 98 (Study group: 50, Control: 48) subjects included to study and compered status of FHL lesions. Sagittal length and axial width of OT were measured on MRI to determine effect of OT on FHL lesions and correlated with arthroscopic findings. RESULTS: FHL tenosynovitis (p: 0,025), degeneration (p: 0,01) and partial tear (p: 0.008) was identified statistically high in study group. Statistical analysis revealed that as length of OT increased, frequency of degeneration (p: 0.03) and partial tear (p: 0.00) of FHL increased. CONCLUSION: Analyzes were showed that the presence of os trigonum had an important role on the FHL pathologies. Additional finding of study was to demonstrate that possibility of FHL lesion increased as length of OT extended. LEVELS OF EVIDENCE: Level 3.
BACKGROUND: It was hypnotized that presence and larger size of os trigonum (OT) can affect flexor hallucis longus tendon (FHL), so tenosynovitis, degeneration and partial tear can be developed. METHODS: A total of 98 (Study group: 50, Control: 48) subjects included to study and compered status of FHL lesions. Sagittal length and axial width of OT were measured on MRI to determine effect of OT on FHL lesions and correlated with arthroscopic findings. RESULTS:FHL tenosynovitis (p: 0,025), degeneration (p: 0,01) and partial tear (p: 0.008) was identified statistically high in study group. Statistical analysis revealed that as length of OT increased, frequency of degeneration (p: 0.03) and partial tear (p: 0.00) of FHL increased. CONCLUSION: Analyzes were showed that the presence of os trigonum had an important role on the FHL pathologies. Additional finding of study was to demonstrate that possibility of FHL lesion increased as length of OT extended. LEVELS OF EVIDENCE: Level 3.
Authors: James D Michelson; Jacob W Bernknopf; Mark D Charlson; Stephen J Merena; Lara M Stone Journal: Clin Orthop Relat Res Date: 2021-12-01 Impact factor: 4.176