Calcaneo-Navicular Coalition:<i>Late Results of Resection</i>

Andreasen, Erik

doi:10.3109/17453676808989478

Cited by 29 publications

(8 citation statements)

References 9 publications

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“…A foot with tarsal coalition may not have valgus deformity or peroneal spasm but may be in a neutraI [20][21][22]26,48,57 or varus position. 1,18,48,50 The terms rigid tlattoot;" rigid flatfoot followed by the etiology,22 and rigid valgus foot followed by the etiology23 have been used. Because of the varieties of foot position in this condition, tarsal coalition is the most useful term.…”

Section: Definition Of Tarsal Coalitionmentioning

confidence: 99%

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Tarsal Coalition

1996

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Tarsal coalition is a bridging between the tarsal bones of the foot. The bridge may be composed of bone, cartilage, fibrous tissue, or a combination of these. When symptomatic, patients usually present with hindfoot pain and frequent sprains as children, adolescents, or young adults. The classical appearance is a rigid flatfoot with heel valgus and abduction of the forefoot. Flexible cavus feet have been reported. The incidence in the general population is less than 1%, and the most common types are talocalcaneal and calcaneonavicular coalitions. The cause is attributed to failure of segmentation and differentiation of the primitive mesenchyme. Calcaneonavicular coalitions can be diagnosed with an oblique radiograph of the hindfoot. Most talocalcaneal coalitions require computerized tomography for diagnostic confirmation. Magnetic resonance Imaging may be useful for cartilaginous and fibrous coalitions. Casting is the usual initial treatment for the symptomatic individual. With treatment failure, in the absence of degenerative changes, resection of the coalition can be performed with good results. Isolated subtalar fusion may be performed for failed talocalcaneal resections. Failed subtalar fusions and failed calcaneonavicular resection may be treated with triple arthrodesis.

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Section: Definition Of Tarsal Coalitionmentioning

confidence: 99%

“…2o-22,26,48,57 Other studies have reported patients with calcaneonavicular coalition and a varus heel. 1,18,48,50 Calcaneonavicular coalitions may have tenderness over the anterolateral foot directly over the coalition. In talocalcaneal coalition, tenderness is usually localized over the middle facet distal to the medial malleolus;"…”

Section: Appearancementioning

confidence: 99%

Tarsal Coalition

1996

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“…Early studies demonstrated successful treatment with arthrodesis, 8,9 whereas more recent studies have reported favorable outcomes with coalition excision. [10][11][12][13][14][15] Historically, patients with a TC coalition and >50% involvement of the joint were recommended for fusion over excision.…”

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confidence: 99%

Patient-reported Outcomes of Tarsal Coalitions Treated With Surgical Excision

Mahan

Spencer

Vezeridis

et al. 2015

Journal of Pediatric Orthopaedics

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“…In view of the fact that a very small percentage of tarsal coalitions ever become symptomatic and need to be addressed by surgery, the reports in literature present variable patient collectives, with different treatment protocols and variable outcomes ( Table 2) [12][13][14][15][16][17][18][19][20][24][25][26][27][28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…With a primary arthrodesis one achieves relief of pain with sacrifice of motion at the affected joint. Mitchell et al [24] CNC in 41 feet, excision of bar Follow-up 6 years, complete relief of symptoms occurred in 68% Andreasen [25] CNC in 31 feet, excision of bar Follow-up 10-22 years. Results: excellent (13), mildly painful (9), severe pain (2), and 6 required triple arthrodesis Jayakumar et al [26] CNC in 26 feet, excision of CNC bar 88% feet were symptom free Swiontkowski et al [27] CNC in 39 feet, excision and fat/muscle interpostion Follow-up 4.6 years.…”

Section: Discussionmentioning

confidence: 99%

Preliminary report: resection and interposition of a deepithelialized skin flap graft in tarsal coalition in children

Sperl

Saraph²,

Zwick³

et al. 2010

Journal of Pediatric Orthopaedics B

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Six tarsal coalitions in children were managed surgically using a deepithelialized skin flap for interposition after resection of the bony, fibrous or cartilaginous coalition. The advantage of this technique is that due to positioning the skin flap, joint motion can be preserved. The clinical results using the Ankle Hindfoot Scale of the American Orthopedic Foot and Ankle Society were excellent in two and good in four cases. The radiographs at follow-up showed no recurrences of the resected coalitions. This study shows that the use of deepithelialized skin flap interposition is effective in providing pain relief for the patients in symptomatic coalitions.

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Calcaneo-Navicular Coalition:Late Results of Resection

Cited by 29 publications

References 9 publications

Tarsal Coalition

Tarsal Coalition

Patient-reported Outcomes of Tarsal Coalitions Treated With Surgical Excision

Preliminary report: resection and interposition of a deepithelialized skin flap graft in tarsal coalition in children

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