Tarsal Coalition

Sartoris, David J.; Resnick, Donald

doi:10.1002/art.1780280314

Cited by 26 publications

(17 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The true frequency is probably higher, however, as many coalitions are asymptomatic (Sartoris and Resnick 1985). Secondary radiological signs of talocalcaneal coalition include talar beaking, narrowing of the posterior joint space and a balland-socket ankle joint (Conway and Cowell 1969;Sartoris and Resnick 1985); the last is characterised by a spherical articulation between the tibia and the talus (Lamb 1958;Channon and Brotherton 1979;Pistoia, Ozonoff and Wintz 1987). This rare deformity is more commonly congenital when it may be associated with shortening of the lower limbs, coalition of tarsal bones, absence or fusion of digital rays, and aplasia or hypoplasia of the fibula (Pappas and Miller 1982;Pistoia et al 1987).…”

Section: Discussionmentioning

confidence: 95%

“…Tarsal coalition, an abnormal union of two or more tarsal bones (Cowell and Elener 1983;Carson et al 1991), may be either congenital or acquired, and has a reported prevalence of about 1% in the general population. The true frequency is probably higher, however, as many coalitions are asymptomatic (Sartoris and Resnick 1985). Secondary radiological signs of talocalcaneal coalition include talar beaking, narrowing of the posterior joint space and a balland-socket ankle joint (Conway and Cowell 1969;Sartoris and Resnick 1985); the last is characterised by a spherical articulation between the tibia and the talus (Lamb 1958;Channon and Brotherton 1979;Pistoia, Ozonoff and Wintz 1987).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The ‘Small-Patella’ Syndrome

Dellestable¹,

Péré²,

Blum

et al. 1996

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We describe a syndrome combining abnormalities of the pelvis, knee and foot in three related patients with a familial history of small dislocated patellae. The clinical and radiological appearance of the patella and pelvis is consistent with the 'small-patella' syndrome, a rare autosomal dominant disorder. There were also previously unreported deformities affecting the feet. The 'small-patella' syndrome, first described by Scott and Taor in 1979, is characterised by patellar aplasia or hypoplasia and abnormalities of the pelvic girdle. We describe a family in which the classic anomalies of this syndrome are associated with minor morphological variations of the hindfoot. We present the radiological features and discuss the aetiology. CASE REPORTSCase 1 (III3, Fig. 1). A 68-year-old woman was admitted with bilateral chronic knee and ankle pain. She was obese and had a personal and family history of recurrent dislocation of small patellae (Fig. 1).Physical examination revealed small, laterally placed patellae, flat feet, and limited subtalar motion. The other peripheral joints were normal and there was no nail dystrophy or leg shortening. Radiographs (Fig. 2) showed multiple skeletal abnormalities, including small dislocated patellae, bilateral defective formation of the ischiopubic junction, hypoplasia of the lesser trochanters, infra-acetabular notches, ball-and-socket ankle joints, secondary radiological signs of bilateral talocalcaneal coalition with narrowing of the posterior talocalcaneal joint space and a talar beak, hypertrophy of the neck of the talus and broadbased plantar calcaneal exostoses.Three-dimensional CT of the pelvis showed thin ischiopubic junctions and emphasised the infra-acetabular notches (Fig. 3a). Coronal CT of the right hindfoot (Fig. 3b) identified talocalcaneal coalition at the level of the sustentaculum tali. No other skeletal abnormalities were seen. Case 2 (IV1, Fig. 1). This 49-year-old woman, the daughter of the patient in case 1, had small patellae. Radiographs of the pelvis, knees and hindfeet showed small patellae, hypoplasia of the ischiopubic junction, hypertrophy of the neck Fig. 1 Genealogical table of the family reported.

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

The ‘Small-Patella’ Syndrome

Dellestable¹,

Péré²,

Blum

et al. 1996

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…Although tarsal coalitions can arise as a result of traumatic injuries, inflammatory arthropathies, degenerative joint disease, infections, and neoplasia, such acquired coalitions are rare, typically occur more often in adults [8][9][10] , and will not be discussed in this review. Congenital tarsal coalitions occur as the result of a failure of segmentation in embryonic mesenchyme that leads to a fibrous anlage between two or more tarsal bones 6,11 .…”

Section: Pathogenesismentioning

confidence: 99%

“…Congenital tarsal coalitions occur as the result of a failure of segmentation in embryonic mesenchyme that leads to a fibrous anlage between two or more tarsal bones 6,11 . This anlage, which forms as early as the fetal stage 11 , can develop into a fibrous coalition (syndesmosis) or can undergo metaplasia to cartilage (synchondrosis) and finally to bone (synostosis) 9,10,12,13 . The two most common sites of tarsal coalition, accounting for 90% of all coalitions 14 , are between the calcaneus and the navicular and at the middle facet of the talocalcaneal joint.…”

Section: Pathogenesismentioning

confidence: 99%

“…This rigid flatfoot associated with hindfoot valgus initially was thought to occur secondary to spasm of the peroneal muscles, leading to the inaccurate and thus less frequent use of the term peroneal spastic flatfoot 19 . Pain following the development of this deformity is believed to arise either from ossification of a previously fibrous or cartilaginous coalition, microfractures at the coalition-bone interface, or chondral damage and secondary degenerative changes associated with the increased biomechanical stresses on adjacent structures 9,13,20 .…”

Section: Pathogenesismentioning

confidence: 99%

See 1 more Smart Citation

The Evaluation and Treatment of Pediatric Tarsal Coalitions

et al. 2014

View full text Add to dashboard Cite

Articular surface defects in the third metatarsal and third cuneiform: Nonosseous tarsal coalition

Regan

Case

Brundige

1999

Am. J. Phys. Anthropol.

View full text Add to dashboard Cite

Frequencies of articular surface defects on the third metatarsal and third cuneiform, seen as pits of varying sizes on the plantar one third of the tarsometatarsal articular face, were investigated in skeletal populations from North America and Japan, as well as in gibbon, orangutan, chimpanzee, and gorilla skeletons. The apes did not exhibit the defects, although the number of observed specimens of each type was small. The newly presented human frequencies corresponded well with those from other published sources. The defects appeared both unilaterally and bilaterally, with no apparent sex or side biases. Statistical tests between the various populations found that, in general, geographically close populations had more similar frequencies of the defect. Possible etiologies for the defect were investigated, including biomechanical influences, degenerative arthritis, infection, trauma, and a developmental condition known as tarsal coalition, which proved to be the best explanation. Tarsal coalition results from the failure of a joint space to form properly during fetal growth. It can occur between any two adjacent bones of the foot. Several clinically important coalitions, whose presence interferes with normal walking, are known. However, coalition between the third metatarsal and third cuneiform has not been reported in the clinical literature, suggesting that the defect causes little or no foot dysfunction. Tarsal coalition is thought to have a strong genetic component, suggesting that the pit defect may be useful as a skeletal nonmetric trait, as others have stated.

show abstract

Tarsal Coalition

Cited by 26 publications

References 22 publications

The ‘Small-Patella’ Syndrome

The ‘Small-Patella’ Syndrome

The Evaluation and Treatment of Pediatric Tarsal Coalitions

Articular surface defects in the third metatarsal and third cuneiform: Nonosseous tarsal coalition

Contact Info

Product

Resources

About