A case report of tibialis spastic varus foot with tarsal coalition.

Tibialis Spastic Varus Foot With Calcaneonavicular Coalition

“…Another case, in which the foot was fixed by elastic bandage and use of a crutch, was reported by Inoue. 5 Ten weeks later, pain and the varus foot deformity disappeared. Irvine et al 6 and Stuecker and Bennett 7 reported each 1 case where excision of calcaneonavicular bar was performed.…”

“…However, conservative therapy is often unsuccessful in patients with TSVF and calcaneonavicular coalition 3,6,8,9 ; favorable results were achieved in only 1 case. 5 In contrast, successful operative resection of the calcaneonavicular bar with excellent long-term outcomes has been observed in many patients. 4,[6][7][8][9] Radical and complete excision of the calcaneonavicular bar with interposition of the extensor digitorum brevis muscle has also been recommended.…”

“…Of the 9 cases, 7 underwent resection of the coalition (Table 1). [3][4][5][6][7][8][9] Maudsley suggested the name of "spastic pes varus" for this deformity. In his case report, Maudsley 3 brought the foot to the neutral position under general anesthesia and a walking plaster was applied for 3 months.…”

“…One month after the surgery the patient presented with TSVF and calcaneonavicular coalition in the right foot. In the case of Inoue 5 , the deformity gradually increased after the patient started playing soccer; a prior history of the deformity was unknown. In the current case, the deformity worsened with running; however, there was no obvious history of trauma.…”

“…In particular, TSVF with calcaneonavicular coalition is extremely rare. [2][3][4][5][6][7][8][9] In 1931, Schmidt 2 reported a case of this exceptionally rare disorder in German. 2 In 1956, Maudsley 3 first described a case in English.…”