Symptomatic Talocalcaneal Coalition Its Clinical Significance and Treatment

Takakura, Yoshinori; Sugimoto, Kazuya; Tanaka, Yasuhito; Tamai, Susumu

doi:10.1097/00003086-199108000-00035

Cited by 97 publications

(84 citation statements)

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“…Some investigators (16,(35)(36)(37) have recommended conservative management as the first-line treatment of symptomatic tarsal coalitions. Conservative treatment provides satisfactory results in 22% to 46% of cases (16,20,37) but also disappointing results for some (21).…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment provides satisfactory results in 22% to 46% of cases (16,20,37) but also disappointing results for some (21). In our series, we decided to surgically treat children with symptomatic tarsal coalitions after failure of conservative management because they all had Downey type IIA coalitions (juvenile without secondary arthritis) (30).…”

Section: Discussionmentioning

confidence: 99%

“…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 represent >90% of cases, involve the talocalcaneal joint or calcaneonavicular joint (4,(14)(15)(16), and more than one half are bilateral (4,7,15,17,18). Patients will present with symptoms during the second decade of life (5,16,(19)(20)(21)(22) with a history of chronic pain during activity, after a traumatic injury, with repeated sprains, rigid flatfoot, or peroneal spastic flatfoot (5,23,24). Physical examination can reveal a rigid valgus hindfoot with forefoot abduction associated with peroneal muscle spasm on forced inversion.…”

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confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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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“…[3][4][5][6] The prominence appears in early adolescence and increases until bone growth has ceased. 9 We examined 136 feet in 85 patients with talocalcaneal coalition of which 34 (25.0%) had tarsal tunnel syndrome. Talocalcaneal coalition may be medial or posterior; 9 the former is more often associated with tarsal tunnel syndrome (Figs 1 and 2) and the medial plantar nerve is predominantly involved.…”

Section: Discussionmentioning

confidence: 99%

Tarsal tunnel syndrome caused by coalition associated with a ganglion

Takakura

Kumai

Takaoka

et al. 1998

The Journal of Bone and Joint Surgery. British volume

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We examined seven patients with tarsal tunnel syndrome in one foot caused by talocalcaneal coalition and a ganglion. We excised the coalition and the ganglion in six of them. All the patients had pain, sensory disturbance in the sole, and a positive Tinel's sign. Older patients with a long history showed atrophy and weakness of the plantar muscles.Talocalcaneal coalition can be diagnosed on a plain lateral radiograph and an anteroposterior radiograph externally rotated 20°, and confirmed by CT. MRI is also useful for diagnosis. The coalitions were medial, and the ganglion had developed from the incomplete part of the coalition; it was multilocular in some patients.After resection, there was early pain relief but sensory disturbances and Tinel's sign persisted. The postoperative results were excellent in one patient, good in four and fair in one. J Bone Joint Surg [Br] 1998;80-B:130-3. Received 30 July 1997; Accepted 13 August 1997 Tarsal tunnel syndrome is an entrapment neuropathy caused by compression of the tibial nerve, between the calcaneum and the medial malleolus under the cover of the flexor retinaculum.

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Talocalcaneal coalition in Muenke syndrome: Report of a patient, review of the literature in FGFR‐related craniosynostoses, and consideration of mechanism

Agochukwu

Solomon

Benson

et al. 2013

American J of Med Genetics Pt A

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Muenke syndrome is an autosomal dominant craniosynostosis syndrome resulting from a defining point mutation in the FGFR3 gene. Muenke syndrome is characterized by coronal craniosynostosis (bilateral more often than unilateral), hearing loss, developmental delay and carpal and/or tarsal bone coalition. Tarsal coalition is a distinct feature of Muenke syndrome and has been reported since the initial description of the disorder in the 1990s. Although talocalcaneal coalition is the most common tarsal coalition in the general population, it has never been previously been reported in a patient with Muenke syndrome. We present a 7-year-old female patient with Muenke syndrome and symptomatic talocalcaneal coalition. She presented at the age of 7 with limping, tenderness and pain in her right foot following a fall and strain of her right foot. She was treated with ibuprofen, shoe inserts, a CAM walker boot and stretching exercises without much improvement in symptoms. A Computed Tomography (CT) scan revealed bilateral talocalcaneal coalitions involving the middle facet. She underwent resection of the talocalcaneal coalitions, remaining pain-free postoperatively with an improvement in her range of motion, gait and mobility. This report expands the phenotype of tarsal coalition in Muenke syndrome to include talocalcaneal coalition. A literature review revealed a high incidence of tarsal coalition in all FGFR related craniosynostosis syndromes when compared to the general population, a difference that is statistically significant. The most common articulation involved in all syndromic craniosynostoses associated with FGFR mutations is the calcaneocuboid articulation.

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Symptomatic Talocalcaneal Coalition Its Clinical Significance and Treatment

Cited by 97 publications

References 0 publications

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

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

Tarsal tunnel syndrome caused by coalition associated with a ganglion

Talocalcaneal coalition in Muenke syndrome: Report of a patient, review of the literature in FGFR‐related craniosynostoses, and consideration of mechanism

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