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Accessory ossicles of the foot are normal anatomical variations of infrequent clinical significance. They are situated at the sites of secondary ossification centers of the tarsus and metatarsus. Since its first description in the scientific literature in 1804, the os trigonum has been a frequent topic of debate in various aspects from etiology to treatment. We present a rare case of a painful os trigonum with richer than usual clinical findings. The ossicle was excised through open surgery with full relief of symptoms. Some historical peculiarities, the diagnosis, differential diagnosis, clinical findings, and therapeutic modalities are briefly discussed.

revista argentina de anatomía clínica

OS TRIGONUM: A CASE REPORT OF A SYMPTOMATIC ANATOMICAL VARIATION AND ITS SURGICAL TREATMENT. Os trigonum: Un caso de una variación sintomática y su tratamiento quirúrgico