565 results match your criteria: "Tarsal Coalition"

Article Synopsis
  • This study evaluates the effectiveness of combining coalition resection and calcaneal lengthening osteotomy to treat symptomatic talocalcaneal coalition in children with painful flat feet.
  • An analysis of 10 pediatric patients showed significant improvements in foot deformities and pain levels, with most enjoying good postoperative outcomes after an average follow-up of 54 months.
  • The research concludes this combined surgical approach is effective, with minimal complications and no requirement for additional surgeries post-treatment.
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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.

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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.

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Objective: Potential disadvantages of open technique for talocalcaneal coalition (TCC) include a risk of wound infection, opioid drug dependence, and prolonged hospitalization. The purpose of this study was to retrospectively evaluate the effectiveness and safety of endoscopic resection of the TCC.

Methods: A retrospective study from June 2019 to February 2023was conducted on 16 consecutively admitted patients who were diagnosed by imaging to have TCC for whom conservative treatment had failed and who undergone arthroscopic resection.

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Article Synopsis
  • The study investigates the effectiveness of coalition resection surgery for talocalcaneal coalition (TCC) patients, particularly focusing on those with middle and posterior facet coalitions versus those without.
  • It involves a retrospective analysis of 115 patients who underwent TCC surgery, categorizing them into two groups based on preoperative CT scans to compare various clinical outcomes, including pain levels and functional recovery.
  • Results showed no statistically significant demographic or outcome differences between the isolated posterior facet coalition and middle-posterior facet coalition groups, suggesting more research is needed to understand the impact of these coalitions on surgical effectiveness.
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Article Synopsis
  • * Researchers classified TCC morphologies, analyzed CT and X-ray images, and developed finite element models to simulate stress and strain on TCCs, revealing key anatomical features and imaging signs.
  • * Findings indicate that TCCs are located near specific bone landmarks and exhibit unique morphological traits, emphasizing the importance of accurate imaging in diagnosing TCCs, which can enhance clinical practices.
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Cuboid-navicular coalition in a female junior athlete.

BMJ Case Rep

August 2024

Sunshine Coast Orthopaedic Group, Birtinya, Queensland, Australia.

Tarsal coalition is an uncommon cause of insidious-onset foot pain typically affecting adolescents. Cuboid-navicular coalitions are among the rarest variety, comprising less than 1% of all tarsal coalitions. This case report describes a female competitive gymnast in middle childhood with a 6-month history of worsening insidious onset right foot pain that forced withdrawal from all sporting activities.

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Tibialis spastic varus foot without tarsal coalition: a case report.

Orthopadie (Heidelb)

September 2024

Department of Orthopedics, Faculty of Medicine, Bezmialem Vakif University, Iskender Pasa District Adnan Menderes Boulevard, 34093, Fatih/Istanbul, Turkey.

Tibialis spastic varus foot (TSVF) is an uncommon clinical entity primarily associated with tarsal coalition. This case report presents a rare instance of TSVF without tarsal coalition in an 8‑year-old male patient. Successful treatment was achieved through a conservative approach involving botulinum toxin injections and a plaster cast, highlighting the potential of nonsurgical interventions for this rare condition.

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Tarsal Coalition: Surgical Management in the Young Athlete.

HSS J

August 2024

Department of Paediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina.

Tarsal coalition is an abnormal bony, cartilaginous, or fibrous bridge between 2 or more tarsal bones. Adolescent athletes with tarsal coalitions typically present with symptoms that include foot and/or ankle pain and limited range of motion. Loss of mobility can lead to abnormal loading, articular instability, deformity, and joint degeneration.

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Introduction: Coalition is an abnormal, usually congenital, or developmental connection in between or the complete fusion of two bones that are otherwise separate. It is of three types, i.e.

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Article Synopsis
  • The study focuses on patients with talocalcaneal coalition (TCC), a condition where movement between two foot bones is restricted, causing pain during walking.
  • Researchers analyzed joint movement (kinematics) in five TCC patients before and after surgery that removes abnormal bone unions to restore motion.
  • Results showed significant improvements in joint movement post-surgery, suggesting that the procedure may help alleviate pain by improving shock absorption in the foot.
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Article Synopsis
  • The review aimed to analyze the effectiveness of different interposition materials used during surgical treatment for tarsal coalitions in children and their impact on recurrence rates.
  • Out of 294 articles, 21 studies involving 436 patients and 581 feet were included, focusing on various coalition types and surgical methods.
  • Overall, the findings indicated low recurrence rates (9%) across different interposition techniques, but it remains unclear which specific material yields the best results due to diverse study quality and lack of statistical comparison.
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Talocalcaneal coalition classifications: A critical analysis review and suggested new classification system with implications for treatment.

Foot Ankle Surg

August 2024

Foot and Ankle Group, Traumatology and Orthopedics Unit, Las Higueras Hospital, Talcahuano. 777 Alto Horno St., Talcahuano 4260000, Chile; School of Medicine, Catholic University of the Most Holy Conception, 2850 Alonso de Ribera St., Concepción 4030000, Chile.

Talocalcaneal coalitions (TCC) is the second most frequent tarsal coalition reported. Our aim was to review talocalcaneal coalition classifications and to propose a new classification emphasizing a therapeutic approach. None of the classifications described for TCC mention the presence of flatfoot or valgus hindfoot, which are the key elements when defining the optimal treatment of this disease.

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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.

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Background: Calcaneonavicular (CNC) and talocalcaneal (TCC) coalitions are the most common cause of rigid flatfoot in children. After resection, correction of the most frequent valgus-hindfoot deformity usually requires a second-step surgery. We report results of a retrospective study of patients treated with a one-step correction.

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