Resection for symptomatic talocalcaneal coalition

Wilde, Peter; Torode, Ian; Dickens, D. R. V.; Cole, WG

doi:10.1302/0301-620x.76b5.8083272

Cited by 167 publications

(152 citation statements)

References 5 publications

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“…This study confirmed that resection of coalitions gives good results when coalitions are not associated with arthritis. It is interesting to note that the presence of signs of arthritis correlated with the extension of the coalition to more than 50% of the joint space (Wilde et al [21]). …”

Section: Fig 5 Specimen 7 I Calcaneonavicular Coalition (Arrow) Cmentioning

confidence: 99%

A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet

Solomon

Rühli

Taylor

et al. 2003

Journal Orthopaedic Research

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Most of the clinical studies report the incidence of tarsal coalitions (TC) as less than 1% but they disregard the asymptomatic coalitions. TC have been associated with degenerative arthritic changes. After X-rays, computer tomography (CT) is the most commonly used diagnostic test in the detection of TC.The aims of our study were to establish the incidence of TC; the association between T C and accessory tarsal bones and between TC and tarsal arthritis; and to assess the sensitivity of CT as a diagnostic tool in TC. We performed spiral CT scans of 100 cadaver feet (mean age at death 77.7 & 10.4), which were subsequently dissected. The dissections identified nine non-osseous TC: two talocalcaneal and seven calcaneonavicular. There was no osseous coalition. Tarsal arthritis was identified in 3 1 cases. Both talocalcaneal coalitions were associated with arthritis while none of the calcaneonavicular coalitions were associated with tarsal arthritis. The CT diagnosed an osseous talocalcaneal coalition and was suspicious of fibrocartilaginous coalitions in eight cases. There was correlation between dissection and CT in two talocalcaneal coalitions and three calcaneonavicular coalitions thus CT identifying 55.50/0 of the coalitions. C T did not diagnose four non-osseous coalitions and diagnosed errouresly four possible coalitions. In conclusion our study demonstrated that the incidence of non-osseous T C is higher than previously thought ( 12.72'%). The calcaneonavicular coalitions are the most common single type (9.09%) and they d o not seem to be associated with arthritic changes in the tarsal bones. Our CT results suggest that spiral CT has a low sensitivity in the detection of non-osseous coalitions and questions if multislice CT should be used routinely when TC are suspected.Crown

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Section: Fig 5 Specimen 7 I Calcaneonavicular Coalition (Arrow) Cmentioning

confidence: 99%

A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet

Solomon

Rühli

Taylor

et al. 2003

Journal Orthopaedic Research

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“…[5] und stellt neben der Ausdehnung und dem talokalkanearen Impingement einen wesentlichen Prädiktor für ein ungünstiges Ergebnis nach Coalitio-Resektion dar [12]. …”

Section: Resultsunclassified

“…In der Literatur finden sich Mitteilungen über kleinere Patientengruppen nach Coalitio-Resektion [3,5,8,9,12] mit teilweise auch unbefriedigenden Ergebnissen. Eine vorbestehende Rück-fußfehlstellung wird durch die Resektion nicht korrigiert…”

Section: Die Resektion Der Talokalkanearen Coalitio Im Kindesund Adolunclassified

Die Resektion der talokalkanearen Coalitio im Kindesund Adoleszentenalter ohne und mit Stellungskorrektur

Hämel¹

2009

Orthop Traumatol

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24 resections of a talocalcaneal coalition in 22 pediatric or adolescent patients were carried out. The coalition was located at the medial joint facet in 18 cases and in the dorsomedial talocalcaneal region in seven cases (in one patient combination of both). Three patients presented with an additional calcaneonavicular coalition. A talocalcaneal bone bridge of the entire joint was found in five cases. In seven patients an intramuscular lengthening of the gastrocnemius muscle was necessary. In nine patients a calcaneal lengthening procedure, and in five patients a calcaneal sliding osteotomy were added. A lengthening in the region of a calcaneocuboid synostosis was untertaken in one case. After a mean follow-up of 21.2 months 17 patients are completely or nearly pain-free. Five patients still complain of pain, but are improved. Two patients were lost to follow-up.

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“…Historically, the operative procedure of choice after failure of adequate conservative management has been fusion. More recently, good clinical results have been reported after operative resection of the coalition, with the advantages of preserving hindfoot motion and pain relief (16,(20)(21)(22)(37)(38)(39)(40)(41)(42)(43). However, the optimal operative treatment has not yet been determined (44).…”

Section: Discussionmentioning

confidence: 99%

Tarsal Coalitions: Preliminary Results After Operative Excision and Silicone Sheet Interposition in Children

Krief

Ferraz

Appy-Fedida

et al. 2016

The Journal of Foot and Ankle Surgery

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Resection for symptomatic talocalcaneal coalition

Cited by 167 publications

References 5 publications

A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet

A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet

Die Resektion der talokalkanearen Coalitio im Kindesund Adoleszentenalter ohne und mit Stellungskorrektur

Tarsal Coalitions: Preliminary Results After Operative Excision and Silicone Sheet Interposition in Children

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