Abstract:Background: A bipartite medial cuneiform is a rare anatomical variation of the midfoot. Whilst it has been described in isolation there are few reports describing this variation alongside other anatomical anomalies of the foot.
“…All included studies were level 4 according to the CEBM classification [10]. Twelve of these studies were case reports [13][14][15][16][17][18][19][20][21][22][23][24], while 11 were case series [25][26][27][28][29][30][31][32][33][34][35], with a total of 97 patients (118 feet) treated for calcaneonavicular coalition, of these 41 patients were male and 56 were female. The mean age of included patients was 33.6 years with a range from 16 to 81 years.…”
Section: Characteristics Of Included Studiesmentioning
Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions.PubMed, MEDLINE, Embase, and the Cochrane Library were searched for relevant studies that reported outcomes for the management of calcaneonavicular coalitions in adults. Twenty-three studies met the inclusion criteria, comprising 118 coalitions. Forty-one coalitions were managed conservatively and 71 through operative means of which, 62 included a resection and nine had an arthrodesis performed. Patients who were operated upon had a significantly higher complication rate of 23.4% compared to 10.6% for those who were managed conservatively (p=0.048). There was no significant difference in complication rates among those who had a resection or an arthrodesis. All studies demonstrated an improvement in functional outcomes regardless of intervention used. Conservative management of calcaneonavicular coalitions in adults should continue to be advocated as first-line treatment given the lower complication rates compared to operative means.
“…All included studies were level 4 according to the CEBM classification [10]. Twelve of these studies were case reports [13][14][15][16][17][18][19][20][21][22][23][24], while 11 were case series [25][26][27][28][29][30][31][32][33][34][35], with a total of 97 patients (118 feet) treated for calcaneonavicular coalition, of these 41 patients were male and 56 were female. The mean age of included patients was 33.6 years with a range from 16 to 81 years.…”
Section: Characteristics Of Included Studiesmentioning
Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions.PubMed, MEDLINE, Embase, and the Cochrane Library were searched for relevant studies that reported outcomes for the management of calcaneonavicular coalitions in adults. Twenty-three studies met the inclusion criteria, comprising 118 coalitions. Forty-one coalitions were managed conservatively and 71 through operative means of which, 62 included a resection and nine had an arthrodesis performed. Patients who were operated upon had a significantly higher complication rate of 23.4% compared to 10.6% for those who were managed conservatively (p=0.048). There was no significant difference in complication rates among those who had a resection or an arthrodesis. All studies demonstrated an improvement in functional outcomes regardless of intervention used. Conservative management of calcaneonavicular coalitions in adults should continue to be advocated as first-line treatment given the lower complication rates compared to operative means.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.