{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T17:59:57Z","timestamp":1792432797635,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Management of ankle pain in dancers can be challenging because of the repetitive stress and complex demands placed on this region. Despite the prevalence of ankle injuries in this population, literature on surgical outcomes and return to dance is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To retrospectively evaluate the efficacy and functional outcomes after surgical excision of a symptomatic os trigonum in dancers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between June 2006 and June 2016, a total of 44 dancers underwent surgical excision of a symptomatic os trigonum at a single institution and by a single surgeon. All patients presented with symptoms of posterior ankle impingement syndrome and subsequently failed nonsurgical treatment. Clinical analysis was conducted using various pre- and postoperative patient-reported outcome questionnaires, including the Veterans RAND 12-Item Health Survey (VR-12), Foot Function Index\u2013Revised (FFI-R), and visual analog scale (VAS) for pain, as well as subjective patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 44 patients (54 ankles; mean age, 18.2 years) were retrospectively evaluated at a mean follow-up of 33.4 months. The VR-12 Physical Health score improved from a mean score of 37.8 \u00b1 11.9 to 51.2 \u00b1 10.5 ( P &lt; .001). The cumulative FFI-R score improved from 46.45 \u00b1 13.8 to 31.2 \u00b1 9.7 ( P = .044), with the subcategory of \u201cactivity limitation\u201d representing the highest-scoring FFI-R subcategory at 65.28 \u00b1 13.4 preoperatively and improving to 34.47 \u00b1 12.4 at follow-up ( P &lt; .001). The mean VAS score for subjective pain improved significantly from 5.39 \u00b1 2.84 to 1.73 \u00b1 2.10 ( P &lt; .00044).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, the findings of the present study demonstrate that dancers of varying style and level improved significantly according to various clinical measures. Patients included in this study reported that they returned to their previous level of dance upon completion of physical therapy and maintained thriving postoperative careers, which for several meant dancing at the professional level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967120938767","type":"journal-article","created":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T12:24:36Z","timestamp":1595420676000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Surgical Outcomes of Os Trigonum Syndrome in Dancers: A Case Series"],"prefix":"10.1177","volume":"8","author":[{"given":"Keifer P.","family":"Walsh","sequence":"first","affiliation":[{"name":"Alabama College of Osteopathic Medicine, Dothan, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Durante","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad R.","family":"Moser","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Chris","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Stone McGaver","sequence":"additional","affiliation":[{"name":"Twin Cities Orthopedics, Edina, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,22]]},"reference":[{"key":"bibr1-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/1089313X0801200305"},{"key":"bibr2-2325967120938767","doi-asserted-by":"publisher","DOI":"10.12678\/1089-313X.23.1.40"},{"key":"bibr3-2325967120938767","author":"Aquino J","journal-title":"Sports Biomech"},{"key":"bibr4-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.04.006"},{"key":"bibr5-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2018.05.011"},{"key":"bibr6-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-6-5"},{"key":"bibr7-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715595504"},{"key":"bibr8-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1590\/bjpt-rbf.2014.0142"},{"issue":"1","key":"bibr9-2325967120938767","first-page":"1","volume":"16","author":"Dozzi PA","year":"1994","journal-title":"Kinesiology and Medicine for Dance"},{"key":"bibr10-2325967120938767","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2018.7508"},{"key":"bibr11-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477609"},{"key":"bibr12-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.08.029"},{"key":"bibr13-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/107110078200300204"},{"key":"bibr14-2325967120938767","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.18.00015"},{"key":"bibr15-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716665576"},{"key":"bibr16-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.02.020"},{"key":"bibr17-2325967120938767","doi-asserted-by":"publisher","DOI":"10.3928\/00904481-20151215-01"},{"key":"bibr18-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000508"},{"key":"bibr19-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.37B2.257"},{"key":"bibr20-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.09.015"},{"key":"bibr21-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e31823ab4bd"},{"key":"bibr22-2325967120938767","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2005.35.5.307"},{"key":"bibr23-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2004.02.010"},{"key":"bibr24-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.08.006"},{"key":"bibr25-2325967120938767","doi-asserted-by":"publisher","DOI":"10.12678\/1089-313X.22.1.3"},{"key":"bibr26-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20991"},{"key":"bibr27-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181c1ddf1"},{"key":"bibr28-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115592621"},{"key":"bibr29-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115590114"},{"key":"bibr30-2325967120938767","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117712704"},{"issue":"4","key":"bibr31-2325967120938767","first-page":"357","volume":"55","author":"Tsuruta T","year":"1981","journal-title":"Nihon Seikeigeka Gakkai Zasshi"},{"key":"bibr32-2325967120938767","first-page":"82","volume":"17","author":"Turner W","year":"1882","journal-title":"J Anat Physiol"},{"key":"bibr33-2325967120938767","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v7.i10.657"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967120938767","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2325967120938767","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967120938767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:49:09Z","timestamp":1777592949000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2325967120938767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,1]]},"references-count":33,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7,1]]}},"alternative-id":["10.1177\/2325967120938767"],"URL":"https:\/\/doi.org\/10.1177\/2325967120938767","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,1]]},"article-number":"2325967120938767"}}