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Tarsal coalition

S A Kulik1, T O Clanton

  • 1University of Texas, School of Medicine at Houston, USA.

Foot & Ankle International
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

Tarsal coalition, a foot bone fusion, causes pain and sprains in young people. Surgical resection or fusion can effectively treat symptomatic cases when conservative methods fail.

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Area of Science:

  • Orthopedics
  • Podiatry
  • Skeletal Biology

Background:

  • Tarsal coalition involves abnormal fusion between foot bones, often presenting in childhood or adolescence.
  • Symptoms include hindfoot pain, frequent sprains, and characteristic foot deformities like rigid flatfoot.
  • It affects less than 1% of the population, with talocalcaneal and calcaneonavicular coalitions being most common.

Purpose of the Study:

  • To review the etiology, diagnosis, and management of tarsal coalition.
  • To highlight diagnostic imaging techniques for different coalition types.
  • To outline surgical treatment options for refractory cases.

Main Methods:

  • Review of existing literature on tarsal coalition.
  • Discussion of diagnostic modalities including radiography, CT, and MRI.

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  • Analysis of treatment outcomes for conservative and surgical interventions.

    • Main Results:

    • Calcaneonavicular coalitions are diagnosed via oblique hindfoot radiographs.
    • Talocalcaneal coalitions often require CT for confirmation; MRI aids in identifying cartilaginous/fibrous types.
    • Conservative treatment (casting) is primary; surgical resection or fusion (subtalar or triple arthrodesis) is indicated for treatment failures.

    Conclusions:

    • Tarsal coalition diagnosis relies on clinical presentation and appropriate imaging.
    • Surgical intervention, including resection or fusion, offers good outcomes for symptomatic coalitions unresponsive to conservative care.
    • Complex cases may necessitate salvage procedures like triple arthrodesis.