26 cases of calcanconavicular coalitions were treated by resection of the calcanconavicular bar. The endresults were markedly influenced by the age at surgery, while there was no difference between the "bone" and "cartilage" group. The coalition must be recognised if someone examinates a rigid flatfoot.
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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 PDFBilateral Cubonavicular and Synchronous Talocalcaneal Tarsal Coalition with Stress Response-Case Report and Review of Literature.
Indian J Radiol Imaging
April 2024
Spire Parkway Hospital, Solihull, United Kingdom.
Tarsal coalition occurs in 1% of the population and represents a congenital failure of segmentation in two or more tarsal bones. It most commonly occurs at the talocalcaneal and calcaneonavicular joint. Although commonly asymptomatic, it may present with pain, rigidity, and pes planus.
View Article and Find Full Text PDFImaging characteristics of too-long anterior process syndrome in children and adolescents.
Pediatr Radiol
February 2024
Service d'Imagerie de l'Enfant, Hôpital Jeanne de Flandre, CHRU de Lille, Avenue Eugène Avinée, Lille cedex 59037, France.
Background: In the presence of pain over the lateral aspect of the foot or recurrent ankle sprain in children, medical imaging is often employed to investigate potential causes, such as a calcaneonavicular coalition or a too-long anterior process (TLAP) of the calcaneus. Diagnosis and categorization of calcaneonavicular coalitions (synostosis, synchondrosis, or synfibrosis) is generally facilitated through imaging, in contrast to TLAP, which lacks well-defined semiological characteristics, apart from a calcaneonavicular space measurement of less than 5 mm. However, this measurement initially performed on an oblique view radiograph can be subject to a lack of precision due to positional variations of the foot and overlapping bones.
View Article and Find Full Text PDFOutcomes of surgical management for tarsal coalitions: a systematic review.
Arch Orthop Trauma Surg
December 2023
Department of Orthopedic Surgery and Traumatology, Bürgerspital Solothurn, Schöngruenstrasse 42, 4500, Solothurn, Switzerland.
Purpose: To analyze the outcome of surgical treatment of tarsal coalition, assess the role of the surgical technique, as well as of coalition size and type on outcomes.
Methods: The search followed the Preferred Reporting Items of Systematic Review and Meta-Analysis and was performed in four databases: MEDLINE, Central, Scopus and Web of Science. The protocol has been registered in the international prospective register of systematic reviews.
Resection of Bar in the Management of Calcaneonavicular Coalition: A Systematic Review.
Cureus
May 2023
Trauma and Orthopaedics, University Hospitals Dorset NHS Foundation, Poole, GBR.
The most commonly encountered type of tarsal coalition in symptomatic patients is the calcaneonavicular coalition. Non-surgical treatments are effective for most patients. However, if surgery is required, excision of the calcaneonavicular bar can be a successful option that preserves hindfoot mobility and function.
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