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Tarsal coalitions.

M D Perlman, S J Wertheimer

    The Journal of Foot Surgery
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Tarsal coalition, a rare fusion of foot bones, causes symptoms like flatfoot and pain, typically in youth. Treatment for this foot anomaly begins only when symptoms appear, prioritizing conservative methods before considering surgery.

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    Area of Science:

    • Orthopedics and Podiatry
    • Skeletal Anomalies
    • Pediatric Foot Conditions

    Background:

    • Tarsal coalition is an uncommon congenital anomaly characterized by the abnormal fusion of two or more tarsal bones in the foot.
    • This condition can lead to significant biomechanical alterations and clinical symptoms, often presenting in childhood or adolescence.
    • The spectrum of tarsal coalition ranges from asymptomatic cases to those with severe functional limitations.

    Purpose of the Study:

    • To review the clinical presentation and management strategies for tarsal coalition.
    • To emphasize the importance of symptom onset in guiding treatment decisions for tarsal coalition.
    • To outline the progression of treatment options, from conservative measures to surgical intervention.

    Main Methods:

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  • Review of existing literature on tarsal coalition, focusing on diagnostic criteria and treatment outcomes.
  • Analysis of clinical case reports and series detailing the natural history and response to interventions.
  • Synthesis of evidence regarding conservative management (e.g., orthotics, physical therapy) and surgical techniques.

    • Main Results:

    • Symptoms associated with tarsal coalition commonly include pes planus (flatfoot), reduced subtalar joint motion, and peroneal muscle spasm.
    • Onset of symptoms typically occurs during early life, coinciding with the completion of tarsal ossification.
    • A significant proportion of individuals with tarsal coalition remain asymptomatic throughout their lives.

    Conclusions:

    • Treatment for tarsal coalition should be initiated only upon the manifestation of symptoms, not based on the anomaly alone.
    • Conservative management is the recommended first-line approach for symptomatic tarsal coalition.
    • Surgical intervention is reserved for cases where conservative treatments fail to alleviate symptoms or improve function.