Tarsal Coalitions

Golshteyn, Gan; Schneider, Harry P.

doi:10.1016/j.cpm.2021.08.004

Cited by 8 publications

(3 citation statements)

References 35 publications

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“…Non-operative treatment is the first-line strategy and can be tried for 3 to 6 months in symptomatic patients with talocalcaneal coalition involving synostosis [ 40 ]. However, patients refractory to conservative treatment should be offered surgery, including open or endoscopic [ 41 ] resection or fusion [ 40 , 42 , 43 ] of the talocalcaneal coalition. In cases of talocalcaneal coalition associated with severe hindfoot valgus, it is recommended to correct the deformity [ 44 ].…”

Section: Talocalcaneal Coalitionmentioning

confidence: 99%

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Liu,

Wang,

2024

Ultrasonography

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Various etiologies and risk factors contribute to foot pain in children and adolescents, including conditions such as Kohler's disease, Sever's disease, Iselin's disease, rigid flat foot, accessory navicular, Freiberg's disease, sesamoiditis, os trigonum syndrome, and more. High-frequency musculoskeletal ultrasonography can show both the bone surface and the surrounding soft tissue clearly from various angles in real-time, thereby providing a higher level of detail that is helpful for identifying the etiology of foot pain and monitoring disease progression compared with other imaging modalities. This review provides an overview of the epidemiology, pathophysiology, clinical manifestations and characteristic ultrasonographic findings of select foot pain conditions in children and adolescents.

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Section: Talocalcaneal Coalitionmentioning

confidence: 99%

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Liu,

Wang,

2024

Ultrasonography

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“…In children, exible atfoot is often due to underdeveloped arches, while congenital atfoot is attributed to adhesive tarsal bones and congenital vertical talus. [2][3][4][5] Acquired atfoot arises when children with normal arches develop atfoot during growth, primarily due to factors such as a tight gastrocnemius-soleus complex, obesity, posterior tibial tendon dysfunction, or weakened plantar fascia and other archsupporting ligaments. [6][7][8][9][10] Previous studies have described the morphological changes in atfoot using various parameters.…”

Section: Introductionmentioning

confidence: 99%

Morphological Changes in Flatfoot: A 3D Analysis Using Weight-Bearing CT Scans

Cai,

Zhao,

Huang

et al. 2024

Preprint

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Background Flatfoot is a condition resulting from complex three-dimensional (3D) morphological changes. Previous studies have been constrained by using two-dimensional radiographs and non-weight-bearing conditions. The deformity in flatfoot is associated with the 3D morphology of the bone. These morphological changes affect the force line conduction of the hindfoot/midfoot/forefoot, leading to further morphological alterations. Given that a two-dimensional plane axis overlooks the 3D structural information, it is essential to measure the 3D model of the entire foot in conjunction with the definition under the standing position. This study aims to analyze the morphological changes in flatfoot using 3D measurements from weight-bearing CT (WBCT). Method WBCT scans were conducted on 32 patients with flatfoot and 30 healthy individuals in a standing position. The distance, angle in sagittal/transverse/coronal planes, and volume of the two groups were compared on reconstructed 3D models using the t-test. Logistic regression was used to identify flatfoot risk factors, which were then analyzed using receiver operating characteristic curves and nomogram. Result The flatfoot group exhibited significantly lower values for calcaneofibular distance (p = 0.001), sagittal and transverse calcaneal inclination angle (p < 0.001), medial column height (p < 0.001), sagittal talonavicular coverage angle (p < 0.001), and sagittal (p < 0.001) and transverse (p = 0.015) Hibb angle. In contrast, the sagittal lateral talocalcaneal angle (p = 0.013), sagittal (p < 0.001) and transverse (p = 0.004) talocalcaneal angle, transverse talonavicular coverage angle (p < 0.001), coronal Hibb angle (p < 0.001), and sagittal (p < 0.001) and transverse (p = 0.001) Meary’s angle were significantly higher in the flatfoot group. The sagittal Hibb angle (B = −0.379, OR = 0.684) and medial column height (B = −0.990, OR = 0.372) were identified as significant risk factors for flatfoot. Conclusion The findings validate the 3D spatial position alterations in flatfoot. These include excessive pronation of the forefoot, the arch collapsed, subluxation of the talonavicular joint in the midfoot, adduction and valgus of the calcaneus, adduction and plantar ward movement of the talus in the hindfoot, along with the first metatarsal’s abduction and dorsiflexion in the forefoot.

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“…Bone pathology may include various types of synostoses between the plantar bones, with manifestations such as tarsal and hindfoot pain, peroneal tendon spasm, pes planus and secondary osteoarthritis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Coxa pedis: can calcaneal pronation angle be considered a predictive sign of medial plantar arch overload?

Calvi,

Grasso,

Sollami

et al. 2024

Radiol med

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Purpose To assess whether a correlation between the calcaneal pronation angle and the presence of internal plantar arch overload signs (such as upper-medial spring ligament lesion, posterior tibial tendon tenosynovitis, etc.) could lead to a better understanding of coxa pedis pathology. Material and methods One hundred ankle MRIs of consecutive patients were retrospectively reviewed measuring the calcaneal pronation angle and either the presence or absence of internal plantar arch overload signs. Next, the association of overload signs with increasing pronation angle was evaluated to establish a cut-off point beyond which coxa pedis pathology could be defined. Results The tibial-calcaneal angle values in patients with and without effusion proved to be significantly different (p < 0.0001). The tibial-calcaneal angle values in patients with and without oedema also demonstrated a significant difference (p < 0.0056). Regarding posterior tibial tendon, a significant difference was found between the two groups (p < 0.0001). For plantar fascia enthesopathy, the result was borderline significant (p < 0.054). A linear correlation was found between the value of pronation angle and the extent of spring ligament injury (p < 0.0001). In contrast, no correlation with age was found. Conclusion In conclusion, the literature associates medial longitudinal plantar arch overload with posterior tibial tendinopathy and spring ligament complex injuries. Our data show that both injuries are highly correlated with increased calcaneal pronation angle, which could be considered a predictive sign of internal plantar arch overload, prior to the development of the associated signs.

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Tarsal Coalitions

Cited by 8 publications

References 35 publications

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Foot pain in children and adolescents: a problem-based approach in musculoskeletal ultrasonography

Morphological Changes in Flatfoot: A 3D Analysis Using Weight-Bearing CT Scans

Coxa pedis: can calcaneal pronation angle be considered a predictive sign of medial plantar arch overload?

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