Document Detail

Associated talocalcaneal and calcaneonavicular coalitions in the same foot.
MedLine Citation:
PMID:  20616757     Owner:  NLM     Status:  MEDLINE    
Tarsal coalition represents abnormal fusion among two or more tarsal bones and is a frequent cause of foot and ankle pain. The coexistence of calcaneonavicular and talocalcaneal coalitions in the same foot has been rarely cited in the literature. We report three cases of rigid flatfoot associated to a double coalition in the same foot. Routine computed tomography (CT) scan helped to delineate the joint space narrowing and bony bridges for preoperative planning. All cases were treated surgically with lateral and medial approach, bar resection, and extensor digitorum brevis interposition. Resection of such coalitions produced variable clinical and radiographic results. The authors discuss the frequency of multiple tarsal bars and the importance of CT in preoperative planning. Multiple tarsal coalitions in the same foot are probably not rare. Surgical outcomes can be jeopardized if they are not recognized in advance. The detection, localization, and characterization of this entity with routine CT scan are mandatory in patients undergoing surgery. Level of Evidence: IV.
Julio Javier Masquijo; James Jarvis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  19     ISSN:  1473-5865     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2011-02-07     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  507-10     Citation Subset:  IM    
Department of Pediatric Orthopaedics, Children's Hospital of Eastern Ontario, University of Ottawa, Canada.
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MeSH Terms
Abnormalities, Multiple / radiography,  surgery
Calcaneus / abnormalities*,  surgery
Cohort Studies
Follow-Up Studies
Foot Deformities, Congenital / radiography,  surgery*
Hospitals, Pediatric
Orthopedic Procedures / methods*
Recovery of Function
Retrospective Studies
Risk Assessment
Sampling Studies
Synostosis / diagnosis*,  surgery
Talus / abnormalities*,  surgery
Tarsal Bones / abnormalities,  surgery
Treatment Outcome

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