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Tarsal coalition: review and preliminary conclusions
The Journal of Foot Surgery
|January 1, 1977
Summary
Tarsal coalition, a rare foot anomaly, involves fusion of tarsal bones, often causing rigid planovalgus deformity. Surgical fusion (arthrodesis) is typically the preferred treatment for this condition.
Area of Science:
- Orthopedics
- Podiatry
- Skeletal Anomalies
Background:
- Tarsal coalition is an uncommon congenital anomaly characterized by abnormal fusion between tarsal bones.
- This fusion can be osseous, cartilaginous, or fibrous, and vary in completeness.
- It frequently leads to rigid planovalgus foot deformity and secondary peroneal muscle spasm.
Purpose of the Study:
- To summarize the characteristics and management of tarsal coalition.
- To highlight the typical clinical presentation and associated deformities.
- To emphasize the primary surgical intervention for this condition.
Main Methods:
- Review of existing literature on tarsal coalition.
- Analysis of clinical presentations and radiographic findings.
- Evaluation of treatment outcomes, focusing on surgical stabilization.
Main Results:
- Tarsal coalition presents with varying degrees of bone fusion.
- The condition commonly results in rigid flatfoot (planovalgus) and peroneal muscle spasticity.
- Arthrodesis (surgical fusion) is the established treatment of choice for most cases.
Conclusions:
- Tarsal coalition is a significant cause of rigid foot deformity.
- Early recognition and appropriate surgical management are crucial.
- Complete stabilization through arthrodesis offers the best outcomes for symptomatic tarsal coalition.