Educational Pearl: Orthopedics

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jalal alessai

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Oct 23, 2011, 2:16:06 PM10/23/11
to Qatar EM Residants Group
Sinus Tarsi Syndrome

Sinus Tarsi Syndrome

  • A painful syndrome of the ankle normally due to an inversion injury.  Results in pain along the lateral side of the ankle.
  • Often misdiagnosed as an ankle sprain.
  • Will have pain localized to the sinus tarsi (inferior and anterior to the anterior border of the lateral malleolus.
  • Can be diagnosed by injecting lidocaine into the sinus tarsi, which should completely relieve the pain.
  • Treatment consists of
    • NSAIDs
    • Ankle immobilization
    • Physical therapy
    • Oral or injected steroids in resistant cases

The area in question can be seen here http://www.docpods.com/images/sinus-tarsi-syndrome.gif

 

 


--
" And say : Oh my Lord ! advance me in  knowledge. " Holy Quran [20:114]

DR. JALAL SALEH ALESSAI
EMERGENCY MEDICINE R4
HMC-QATAR
+97466674243

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