Calcaneonavicular coalition is a common source of pain and more or less severe flat and stiff foot in children. Classically, treatment consists in resecting the coalition using a dorsolateral approach. Good quality resection and interposition can prevent recurrence. The most common complications are infection, hematoma and neuroma. Arthroscopy offers a minimally invasive alternative, but the optimal approach remains undetermined. We describe a surgical technique with an approach based on the anterolateral process of the calcaneus, in three cases with 12 months' follow-up. Arthroscopic resection has certain advantages: recovery is quicker, and the esthetic result is better. For the instrumental portal, skin incision should be superficial, followed by blunt dissection of subcutaneous tissue to avoid superficial peroneal nerve injury. Although longer term follow-up is needed, arthroscopy seems to be an attractive minimally invasive technique in this kind of pathology.
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Tarsal coalition resection in children: Is it effective?
J Foot Ankle Surg
November 2024
The Paley Institute, West Palm Beach Florida. Electronic address:
Tarsal coalitions in children are a group of disorders that typically present as a rigid flatfoot deformity. Operative treatment generally consists of resecting the coalition alone or resection plus flatfoot reconstructive procedures. The purpose of this study was to evaluate the rate and risk factors for complications, including infection, recurrence, and reoperation, following the surgical management of tarsal coalitions in children.
View Article and Find Full Text PDFRadiographic Measurements of Pes Planovalgus Do Not Predict Clinical Outcomes in Tarsal Coalition Excision.
J Pediatr Orthop
October 2024
Department of Orthopaedics and Sports Medicine, Boston Children's Hospital, Boston, MA.
Objective: Many patients who undergo tarsal coalition excision have persistent postoperative pain. Most studies have utilized cat scan (CT) scan parameters of pes planovalgus and heel valgus but have found this to be an inconsistent predictor of outcomes. Plain radiographic parameters have been less utilized in trying to predict outcomes after coalition excision.
View Article and Find Full Text PDFThe Predictability of Clinical Findings and Radiographs for Detecting Tarsal Coalition.
J Pediatr Orthop
February 2025
Department of Orthopaedic Surgery, Boston Children's Hospital.
Introduction: Tarsal coalition is a disorder of the foot characterized by the abnormal union between 2 or more of the tarsal bones. A minority of patients will develop pain and limited motion when reaching adolescence, for whom surgical resection of the coalition may be necessary. The diagnostic value of clinical and radiologic signs remains unclear.
View Article and Find Full Text PDFClinical characterization of patients with tarsal coalitions. 12 years of experience in a high complexity hospital.
Rev Esp Cir Ortop Traumatol
September 2024
Unidad Ortopédica de Pie y Tobillo, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Background: Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.
View Article and Find Full Text PDFMassive tarsal coalition with extended tarsometatarsal coalition in a child: a case report.
Front Pediatr
September 2024
West China Hospital, Sichuan University, Chengdu, China.
Tarsal coalition refers to the union of two or more tarsal bones, which mostly involves the calcaneonavicular and talocalcaneal joints; it is rarely found in multiple unions or unions extended to the metatarsal bones. Nearly 50% of cases occur bilaterally and can be either symmetrical or asymmetrical. We described a rare case of symmetrically bilateral tarsal coalitions involving all the tarsal bones, except for the medial cuneiform, and extending to the fourth metatarsal bones in a 5-year-old boy.
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