Osseous and non-osseous coalition of the middle facet of the talocalcaneal joint.

Kumar, S. Jay; Guille, James T.; Lee, M S; Couto, José Carlos Ferreira

doi:10.2106/00004623-199274040-00008

Cited by 130 publications

(61 citation statements)

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“…The patient's use of rigid orthotics and soft tissue mobilizations was successful in managing peroneal muscle pain and tightness. The orthotics were used to relieve some of the compressive forces due to the structural deformity and attempt to place the foot in a more neutral position 4,5,14,15 ; the goal of the soft tissue mobilizations was to activate autogenic inhibition in the muscles of the lower leg. [44][45][46] The joint mobilizations that were incorporated into the conservative care protocol were designed to relieve the patient's pain and improve his ROM.…”

Section: Case Historymentioning

confidence: 99%

“…Conservative treatment includes the use of a medial heel wedge or medial longitudinal arch support. 13 Other authors 14,15 have reported success from foot supports, ankle foot orthoses, or 6 weeks of casting. Casting was reported as the most effective conservative method of care, but none of the options provided lasting relief.…”

mentioning

confidence: 99%

“…Casting was reported as the most effective conservative method of care, but none of the options provided lasting relief. 14,15 In a study of 20 athletes (26 feet), conservative methods failed and all patients required surgery. 16 Surgical options used in the treatment of tarsal coalition are limited to excision of the coalition or arthrodesis of the subtalar joint.…”

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confidence: 99%

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Bilateral Tarsal Coalition in a National Collegiate Athletic Association Division I Basketball Player: A Case Report

Suits¹,

Oliver

2012

Journal of Athletic Training

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Objective To present a case of bilateral subtalar joint coalition in a National Collegiate Athletic Association Division I basketball player and the treatment plan that was used to manage the coalition from the beginning of conference play through the postseason. Background A 20-year-old male basketball athlete (height = 182.8 cm, mass = 83.4 kg) presented with bilateral subtalar joint tarsal coalition that became symptomatic in 2006 and resulted in constant pain with any form of activity. Differential Diagnosis Traumatic injury of the talocalcaneal joint. Treatment Nonsurgical intervention of conservative therapy was elected. Uniqueness Less than 13% of the overall population is affected with tarsal coalition, so it is safe to assume that very few athletes competing at the collegiate or elite level suffer from this condition. This is the first report in the literature to document conservative manual therapies used to manage the symptoms of subtalar joint tarsal coalition in a Division I basketball player. Conclusions After the intensive treatment program for tarsal coalition was implemented, the patient experienced pain relief and was able to continue to compete at a competitive level. This case represents the need to further explore and document a conservative treatment protocol for tarsal coalition.

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Section: Case Historymentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Bilateral Tarsal Coalition in a National Collegiate Athletic Association Division I Basketball Player: A Case Report

Suits¹,

Oliver

2012

Journal of Athletic Training

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“…Given that tarsal coalitions are thought to arise secondary to a failure of mesenchymal differentiation and segmentation during fetal development ( 1 ), it is not surprising that a morphologic abnormality may exist on both sides when only a unilateral coalition is detected. Wechsler et al ( 11 ) and Kumar et al ( 21 ) showed that some patients have symptomatic nonosseous coalitions that are not evident at CT . A morphologic alteration in the ST might provide a clue to the lesion.…”

Section: Pediatric Imaging: Unilateral Subtalar Coalitionmentioning

confidence: 99%

Unilateral Subtalar Coalition: Contralateral Sustentaculum Tali Morphology

Bixby¹,

Jarrett²,

Matheney³

et al. 2010

Radiology

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Purpose:To measure and compare the dimensions of the sustentaculum tali (ST ) in pediatric patients with unilateral subtalar coalition to determine if the contralateral side has altered morphology. Materials and Methods:The institutional review board approved this study, which was HIPAA compliant. Informed consent was waived. Radiology records were reviewed to identify 35 patients with unilateral subtalar coalition undergoing computed tomography (CT) (21 male, 14 female; mean age, 14.54 years) and 33 control patients with triplane fracture (21 male, 12 female; mean age, 13.48 years). CT images were reviewed, and reformatted images through the subtalar joint (on the side opposite the coalition) were created. Anteroposterior measurements of the middle facet (MF) and the ST were recorded by two observers with electronic calipers. The MF/ST ratio and the ST length extending posterior to the MF were calculated. Measurements between groups were compared by using Wald tests based on linear regressions. Inter-and intraobserver variabilities were determined by means of a component of variance model. Results:The lengths of the MF and ST for the study and control groups were 12.86 and 16.82 mm ( P , .001) and 23.83 and 22.06 mm ( P = .053), respectively. Intra-and interobserver correlations for both measurements were 0.94 and 0.92 and 0.86 and 0.77, respectively. MF/ST ratio was 0.54 versus 0.76 ( P , .001), and ST length extending posterior to the MF was 10.97 versus 5.24 mm ( P , .001). Conclusion:The MF is smaller and the ST extends further beyond the MF in patients with a contralateral subtalar coalition than in control patients. The morphology of the ST may provide insight into the origins and development of coalitions.q RSNA, 2010

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“…Clinical features include pain in the foot or ankle, slight or severe deformity at the subtalar and talar joints, restriction or loss of subtalar motion and spasm of the peroneal muscle. The symptoms are aggravated by activity and relieved by rest [3], and are remediable with appropriate therapy. The traditional radiographic examination, even when supplemented by special views, frequently fails to identify tarsal coalition.…”

Section: Introductionmentioning

confidence: 99%

The bone scan in tarsal coalition: A case report

1996

Pediatr Radiol

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Tarsal coalition is abnormal fusion of two or more tarsal bones. The union may be fibrous, cartilaginous, or osseous and can be congenital or acquired in response to infection, articular disorders, trauma, or surgery. We report a case of fibrous talocalcaneal coalition in a 15-year-old boy in whom bone scintigraphy employing pinhole lateral views confirmed the clinical diagnosis when plain radiographs showed minimal changes and computed tomography was equivocal. The diagnosis of symptomatic tarsal coalition is important in that it is a common remediable cause of peroneal spastic flat foot, a frequently encountered condition. Scintigraphy provides important information about the presence and localization of this condition.

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Osseous and non-osseous coalition of the middle facet of the talocalcaneal joint.

Cited by 130 publications

References 0 publications

Bilateral Tarsal Coalition in a National Collegiate Athletic Association Division I Basketball Player: A Case Report

Bilateral Tarsal Coalition in a National Collegiate Athletic Association Division I Basketball Player: A Case Report

Unilateral Subtalar Coalition: Contralateral Sustentaculum Tali Morphology

The bone scan in tarsal coalition: A case report

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