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Related Experiment Videos

The rigid flatfoot. Tarsal coalitions.

L C Blakemore1, D R Cooperman, G H Thompson

  • 1Division of Pediatric Orthopaedics, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Clinics in Podiatric Medicine and Surgery
|August 16, 2000
PubMed
Summary

Tarsal coalitions, a common cause of rigid flatfoot in young people, often require surgery. Diagnosis involves imaging, and treatment ranges from conservative care to resection or fusion.

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Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Foot and Ankle Surgery

Background:

  • Tarsal coalitions are a significant cause of painful rigid flatfoot in children and adolescents.
  • Talocalcaneal and calcaneonavicular coalitions are the most frequent types, often presenting bilaterally.
  • Symptoms typically emerge during childhood ossification, stemming from fetal mesenchymal differentiation failure.

Purpose of the Study:

  • To review the etiology, diagnosis, and management of tarsal coalitions.
  • To highlight the common presenting symptoms and diagnostic modalities.
  • To discuss surgical interventions for persistent or severe cases.

Main Methods:

  • Review of clinical presentations and diagnostic imaging (radiographs, CT scans).
  • Analysis of treatment outcomes for conservative and surgical interventions.

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  • Evaluation of surgical techniques including resection and arthrodesis.
  • Main Results:

    • Pain is the most common presenting symptom.
    • Plain radiographs and computerized tomography are key diagnostic tools.
    • Surgical treatment, including resection with interposition, is frequently necessary.

    Conclusions:

    • Tarsal coalitions are a primary cause of pediatric rigid flatfoot.
    • Prompt diagnosis via imaging aids effective management.
    • Surgical options like resection are effective, with arthrodesis reserved for complex cases.