Tarsal coalition is a condition characterized by abnormal connections between ≥2 tarsi. Although tarsal coalition is not rare, tarsal coalitions involving >2 tarsi are very unusual. In this report, we describe a case of multiple tarsal coalitions in a 24-year-old male who experienced progressively worsening pain for 3 to 4 months before presenting for care. This case was unique in that all the tarsal and tarsometatarsal bones in the foot were fused and formed 1 integrated tarsal. All of the metatarsals were fused as well, and the patient had no joints or ranges of motion in the hindfoot or midfoot. The patient's pain was responsive to anti-inflammatory medications, and no surgical intervention was necessary. To the best of our knowledge, this is the most extensive case of multiple tarsal coalitions described in the literature to date.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1053/j.jfas.2019.08.001 | DOI Listing |
J Child Orthop
December 2024
Department of Orthopaedics, First Faculty of Medicine, Charles University Prague and Teaching Hospital Na Bulovce, Prague 8, Czech Republic.
Purpose: To describe foot abnormalities in proximal femoral focal deficiency and their correlation to the severity.
Methods: Eighty-nine extremities in 87 patients were evaluated between 1996 and 2020 clinically and radiologically. Fibula length, ankle shape, tarsal coalitions, and the number of foot rays were recorded.
Cureus
November 2024
Department of Orthopedic Surgery, Hadassah Hebrew University Medical Center, Jerusalem, ISR.
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 PDFFoot Ankle Surg
October 2024
U.O.C Ortopedia e Traumatologia Pediatrica, ASST Gaetano Pini/CTO, Piazza Cardinal Ferrari 1, 20122 Milan, Italy.
Tarsal coalition can be a long term severely disabling condition. For symptomatic cases with flatfoot surgical resection of coalition and subtalar arthroeresis represents the most common treatment. Literature reports variable outcomes and recurrence.
View Article and Find Full Text PDFJ 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 PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!