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Structural Joints: Synovial Joints01:16

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Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Tarsal Coalitions.

Gan Golshteyn1, Harry P Schneider2

  • 1The Pediatric Orthopedic Center, Cedar Knolls, NJ, USA.

Clinics in Podiatric Medicine and Surgery
|November 23, 2021
PubMed
Summary
This summary is machine-generated.

Tarsal coalitions are congenital fusions of hindfoot and midfoot bones, causing painful flatfeet in young individuals. Understanding and treating these coalitions with conservative or surgical methods can significantly improve long-term outcomes.

Keywords:
FlatfeetFoot and ankleFoot and ankle painFoot and ankle surgeryPediatricsTarsal coalitionTarsal coalition radiologyTarsal coalition resection

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Area of Science:

  • Orthopedics
  • Podiatry
  • Congenital Anomalies

Background:

  • Tarsal coalitions are congenital anomalies characterized by the fusion of two or more tarsal bones.
  • This fusion leads to limited motion in the hindfoot and midfoot, commonly presenting as painful flatfeet.
  • Adolescents and young adults are frequently affected by symptomatic tarsal coalitions.

Purpose of the Study:

  • To enhance the clinical understanding of tarsal coalitions.
  • To outline a step-wise approach for the conservative and surgical management of tarsal coalitions.
  • To improve patient symptomatology and long-term benefits through effective treatment strategies.

Main Methods:

  • Review of clinical understanding and treatment approaches for tarsal coalitions.
  • Description of conservative management strategies including immobilization, NSAIDs, and casting.
  • Outline of surgical interventions such as resection and/or arthrodesis for persistent symptoms.

Main Results:

  • Tarsal coalitions are a significant cause of painful flatfeet in adolescents and young adults.
  • Conservative treatments can alleviate symptoms in many affected individuals.
  • Surgical options provide effective long-term solutions for refractory cases.

Conclusions:

  • A comprehensive understanding of tarsal coalitions is crucial for effective patient care.
  • A structured approach to treatment, starting with conservative measures and progressing to surgery if needed, yields optimal outcomes.
  • Timely diagnosis and management of tarsal coalitions can significantly reduce pain and improve foot function.