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Abstract：
UNASSIGNED: 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.
UNASSIGNED: To retrospectively evaluate the efficacy and functional outcomes after surgical excision of a symptomatic os trigonum in dancers.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: 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-Revised (FFI-R), and visual analog scale (VAS) for pain, as well as subjective patient satisfaction.
UNASSIGNED: 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 ± 11.9 to 51.2 ± 10.5 (P < .001). The cumulative FFI-R score improved from 46.45 ± 13.8 to 31.2 ± 9.7 (P = .044), with the subcategory of \"activity limitation\" representing the highest-scoring FFI-R subcategory at 65.28 ± 13.4 preoperatively and improving to 34.47 ± 12.4 at follow-up (P < .001). The mean VAS score for subjective pain improved significantly from 5.39 ± 2.84 to 1.73 ± 2.10 (P < .00044).
UNASSIGNED: 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.
UNASSIGNED: To retrospectively evaluate the efficacy and functional outcomes after surgical excision of a symptomatic os trigonum in dancers.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: 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-Revised (FFI-R), and visual analog scale (VAS) for pain, as well as subjective patient satisfaction.
UNASSIGNED: 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 ± 11.9 to 51.2 ± 10.5 (P < .001). The cumulative FFI-R score improved from 46.45 ± 13.8 to 31.2 ± 9.7 (P = .044), with the subcategory of \"activity limitation\" representing the highest-scoring FFI-R subcategory at 65.28 ± 13.4 preoperatively and improving to 34.47 ± 12.4 at follow-up (P < .001). The mean VAS score for subjective pain improved significantly from 5.39 ± 2.84 to 1.73 ± 2.10 (P < .00044).
UNASSIGNED: 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.
摘要：
■由于对该区域的重复压力和复杂要求，舞者的踝关节疼痛管理可能具有挑战性。尽管在这个人群中脚踝受伤很普遍，关于手术结果和回归舞蹈的文献有限.
■回顾性评估舞者手术切除有症状的三角骨的疗效和功能结果。
■案例系列；证据级别，4.
■在2006年6月至2016年6月之间，共有44名舞者在一个机构和一个外科医生中接受了有症状的三角骨的手术切除。所有患者均出现后踝关节撞击综合征的症状，随后非手术治疗失败。使用各种术前和术后患者报告的结果问卷进行临床分析，包括退伍军人RAND12项健康调查(VR-12)，脚部功能索引-修订(FFI-R)和疼痛的视觉模拟量表(VAS)，以及患者的主观满意度。
■共有44名患者（54个脚踝；平均年龄，18.2年）在平均33.4个月的随访中进行了回顾性评估。VR-12体质健康评分从平均得分为37.8±11.9提高到51.2±10.5(P<.001)。累计FFI-R评分从46.45±13.8提高到31.2±9.7(P=.044),“活动受限”子类别代表最高得分的FFI-R子类别，术前为65.28±13.4，随访时改善至34.47±12.4（P<.001）。主观疼痛的平均VAS评分从5.39±2.84显著改善至1.73±2.10(P<.00044)。
■总的来说，本研究的结果表明，根据各种临床措施，不同风格和水平的舞者显着改善。这项研究中包括的患者报告说，他们在完成物理治疗后恢复了以前的舞蹈水平，并在术后保持了蓬勃发展的职业生涯。这对几个人来说意味着专业水平的舞蹈。
■回顾性评估舞者手术切除有症状的三角骨的疗效和功能结果。
■案例系列；证据级别，4.
■在2006年6月至2016年6月之间，共有44名舞者在一个机构和一个外科医生中接受了有症状的三角骨的手术切除。所有患者均出现后踝关节撞击综合征的症状，随后非手术治疗失败。使用各种术前和术后患者报告的结果问卷进行临床分析，包括退伍军人RAND12项健康调查(VR-12)，脚部功能索引-修订(FFI-R)和疼痛的视觉模拟量表(VAS)，以及患者的主观满意度。
■共有44名患者（54个脚踝；平均年龄，18.2年）在平均33.4个月的随访中进行了回顾性评估。VR-12体质健康评分从平均得分为37.8±11.9提高到51.2±10.5(P<.001)。累计FFI-R评分从46.45±13.8提高到31.2±9.7(P=.044),“活动受限”子类别代表最高得分的FFI-R子类别，术前为65.28±13.4，随访时改善至34.47±12.4（P<.001）。主观疼痛的平均VAS评分从5.39±2.84显著改善至1.73±2.10(P<.00044)。
■总的来说，本研究的结果表明，根据各种临床措施，不同风格和水平的舞者显着改善。这项研究中包括的患者报告说，他们在完成物理治疗后恢复了以前的舞蹈水平，并在术后保持了蓬勃发展的职业生涯。这对几个人来说意味着专业水平的舞蹈。
