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April 10, 2026Journal of Pediatric Orthopaedics

Lower-Lying Flexor Hallucis Longus Is Associated With Advancing to Surgery in Pediatric and Adolescent Os Trigonum Syndrome

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Authors

MSMorgan E. SwansonBMBrendon C. MitchellNCNathan Chaclas

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Overview

Explores the connection between muscle belly position and surgery in pediatric and adolescent os trigonum syndrome, suggesting implications for treatment strategies.

Key Points

  • The aim is to determine if the position of the flexor hallucis longus muscle belly influences the success of nonoperative treatment in os trigonum syndrome.
  • Analyzed the anatomical position of the flexor hallucis longus muscle in patients with os trigonum syndrome.
  • Monitored treatment outcomes between nonoperative and surgical management.
  • Compared muscle belly positioning with surgical intervention rates.
  • Patients with a lower-lying flexor hallucis longus were more likely to require surgery.
  • Nonoperative management had higher failure rates associated with specific muscle positions.
  • Understanding the muscle anatomy can aid in better treatment planning.

Cite This Study

Swanson et al. (2026) studied this question.

synapsesocial.com/papers/69d893a86c1944d70ce04a58https://doi.org/10.1097/bpo.0000000000003237
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