Os Trigonum Syndrome-A Single Case Study

Background: The Os Trigonum Syndrome refers to pain in the posterior of the ankle and restriction of plantar flexion caused by “the nutcracker-phenomenon”. It can be wedged between the tibia, talus and calcaneus and inflammation of the involved structures. Commonly seen in ballet dancer and runners. Objective: The purpose of this study is to determine the effect of physiotherapy in Os Trigonum syndrome. Setting: Department of Orthopeadic physiotherapy, Saveetha medical college Hospital Chennai in the year of 2019. Patient and an Examination: A 24 year old female ballet dancer came to SMCH with complain of pain and stiffness behind posterior ankle for past 1 month. Swelling was observed at posterior ankle and passive forced plantar flexion test grinds the ossicle between tibia and calcaneus. Plantar flexion range was limited to 30°, pain of 8/10 on numerical pain rating scale. Physiotherapy intervention was given for 4 weeks. Result: The Treatment Program Was Given To This Patient Continuously For 4 Weeks, Pain Was Decreased To 0/10 and there was increase in plantar flexion movement range upto 45º. Conclusion: By application of physiotherapy in Os trigonum syndrome, it was found that pain was decreased and subsequent increase in ankle plantar flexion.