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Tarsal coalition.

¹Children's Foot Service, Hospital for Special Surgery, New York, New York 10021, USA.

Current Opinion in Pediatrics

|February 15, 2001

Summary

This summary is machine-generated.

Tarsal coalition, a hindfoot abnormality, rarely causes symptoms, typically in adolescents. Diagnosis involves imaging like X-rays and CT scans, with treatment ranging from conservative measures to surgery.

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Area of Science:

Orthopedics
Podiatry
Skeletal Abnormalities

Background:

Tarsal coalition is a common hindfoot skeletal abnormality, often congenital but can be acquired.
It affects 50% of patients bilaterally and commonly involves talocalcaneal and calcaneonavicular types.
Symptoms, though rare, typically manifest in adolescence following minor foot injuries, causing pain and rigidity.

Purpose of the Study:

To review the etiology, diagnosis, and management of tarsal coalition.
To highlight diagnostic imaging techniques and secondary radiographic signs.
To outline conservative and surgical treatment options.

Main Methods:

Review of literature on tarsal coalition.
Analysis of diagnostic methods including radiography, CT, and MRI.

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Discussion of clinical presentation and treatment strategies.

Main Results:

Tarsal coalition diagnosis relies on specific radiographic views (oblique for calcaneonavicular) and advanced imaging (CT/MRI).
Secondary signs like talar beaking and "anteater nose" aid diagnosis on lateral views.
Local anesthetic blocks can pinpoint pain from altered biomechanics.

Conclusions:

Conservative treatment (support, NSAIDs, activity modification) is the initial approach.
Surgical resection is reserved for failed conservative treatment.
Arthrodesis is a last resort for persistent, severe cases.