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Review Question - QID 8695

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QID 8695 (Type "8695" in App Search)
A 24-year-old dancer reports posterior ankle pain when in the “en pointe” position. Examination reveals posteromedial tenderness, no pain reproduction with passive forced planter flexion, and pain with motion of the hallux. What is the most likely diagnosis?

Painful os trigonum

20%

205/1013

Posterior ankle soft-tissue impingement

4%

37/1013

Stricture in the knot of Henry

3%

33/1013

Flexor digitorum longus tendinitis

3%

26/1013

Flexor hallucis longus tendinitis

70%

710/1013

Select Answer to see Preferred Response

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Flexor hallucis longus tendinitis is a common cause of posterior ankle pain in dancers. It tends to be more posteromedial and is characterized by a clicking or catching sensation posteromedially with motion of the great toe. A painful os trigonum typically causes more posterolateral ankle pain and may occur after an ankle sprain or plantar flexion injury where there may be a fracture of the os trigonum.

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