Patient-reported Outcomes of Tarsal Coalitions Treated With Surgical Excision

Mahan, Susan T.; Spencer, Samantha A.; Vezeridis, Peter S.; Kasser, James R.

doi:10.1097/bpo.0000000000000334

Cited by 41 publications

(27 citation statements)

References 23 publications

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“…Este hecho explicaría por qué algunas series comunican resultados favorables luego de la resección aislada, una CAC con valgo >16°. 23 Sin embargo, cuando un paciente es sometido a una resección aislada y presenta un incremento del valgo asociado a una inclinación marcada de la articulación subastragalina, la pérdida del efecto en banda de tensión somete a esta articulación a fuerzas de cizallamiento. Si a esto le asociamos que la superficie de carga es menor que la normal luego de la resección, el resultado esperable es la degeneración articular, el dolor y la pérdida de la función.…”

Section: Discussionunclassified

Análisis tomográfico de la alineación del retropié en pacientes con coaliciones tarsianas

Masquijo

Matar

Allende

et al. 2021

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: El objetivo de este estudio es describir la morfología del retropié mediante cortes coronales con tomografía computarizada en pacientes con coaliciones tarsianas. Materiales y Métodos: Se incluyeron 85 pies de 78 pacientes de entre 9 y 17 años. Fueron divididos en 3 grupos: 1) grupo de control (n = 29), 2) con coaliciones calcáneo-escafoideas (CCE) (n = 31) y 3) con coaliciones astrágalo-calcáneas (CAC) (n = 25). Dos observadores valoraron cinco medidas: Inftal-Suptal, Inftal-Hor, Inftal-Supcal, Suptal-Infcal y el ángulo astrágalo-calcáneo (AAC). Resultados: Los grupos no presentaron diferencias en la distribución por edad y sexo. Los pacientes con coaliciones tarsianas tuvieron valores significativamente superiores en todas las mediciones comparados con el grupo de control (p <0,05 Kruskall-Wallis/ANOVA). Las mediciones del AAC en los pacientes con CCE y CAC fueron significativamente superiores a las del grupo de control (10,09 ± 4,60; 17,77 ± 11,28 y 28,66 ± 8,89, respectivamente, p <0,0001). La distribución del AAC fue muy variable en los pacientes con CCE, mientras que, en la mayoría del grupo CAC, tuvo un patrón de alineación en valgo. No hubo una correlación directa entre los valores del AAC e Inftal-Hor (Spearman 0,27013; p = 0,1916). Conclusiones: En los pacientes con coaliciones tarsianas, la orientación del valgo del retropié suele estar aumentada. La magnitud de esta deformidad es mayor en pacientes con coaliciones CAC, mientras que, en aquellos con CCE pueden manifestarse con una gran variabilidad. El aumento del valgo del retropié no implica necesariamente un aumento de la inclinación de la articulación subastragalina, por lo que esta última debe evaluarse por separado en la planificación preoperatoria. Nivel de Evidencia: III

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Section: Discussionunclassified

Análisis tomográfico de la alineación del retropié en pacientes con coaliciones tarsianas

Masquijo

Matar

Allende

et al. 2021

Rev. Asoc. Arg. Ort. y Traumatol

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“…[1][2][3] Talocalcaneal coalition is a signi cant cause of hindfoot pain, limited motion, and a valgus heel. [4][5][6] The talocalcaneal coalition can be divided into syndesmosis, synchondrosis, and synostosis by its nature.…”

Section: Introductionmentioning

confidence: 99%

A New Classification of Talocalcaneal Coalitions Based On Computed Tomography For Operative Planning

Wang

Shi

Chen

et al. 2021

Preprint

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Background Current classifications emphasize the morphology of the coalition, however, subtalar joint facets involved should also be emphasized.Objective The objective of this study was to develop a new classification system based on the articular facets involved to cover all coalitions and guide operative planning.Methods Patients were diagnosed with talocalcaneal coalition using a CT scan, between January 2009 and February 2021. We classified the coalition into four main types according to the shape and nature of the coalition: I, inferiorly overgrown talus or superiorly overgrown calcaneus; II, both talus and calcaneus overgrew; III, coalition with an accessory ossicle; (I-III types are non-osseous coalition) IV, complete osseous coalition. Then each type was further divided into three subtypes according to the articular facets involved. A, the coalition involving the anterior facets; M, the coalition involving the middle facets, and P, the coalition involving the posterior facets.Results There were 106 patients (108 feet) included in this study. Overall, 8 feet (7.5%) were classified as type I, 75 feet (69.4%) as type II, 7 feet (6.5%) as type III, and 18 feet (16.7%) as type IV. Twenty-nine coalitions (26.9%) involved the posterior facets only (subtype-P), 74 coalitions (68.5%) involved both the middle and posterior facets (subtype-MP), and five coalitions (4.6%) simultaneously involved the anterior, middle, and posterior facets (subtype-AMP). Type II-MP coalition was the most common.Conclusion A new classification system of the talocalcaneal coalition to facilitate operative planning was developed.

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“…Calcaneonavicular coalition may be a osseous, cartilaginous, or fibrous bar (4) that locks the affected joint, leading to reduced range of motion of hindfoot and thus to loss of foot accommodation capacity on uneven surfaces, since overload on surrounding joints (5,4) leads to inflammation and pain, which are the most frequent symptoms in adolescents (6) . The onset of symptoms is correlated with the ossification process and usually occurs between 12-15 years for calcaneonavicular coalition (7) .…”

Section: Introductionmentioning

confidence: 99%

Calcaneonavicular coalition resection

et al. 2020

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Tarsal coalition is an abnormal connection between tarsal bones, caused by an embryogenic failure. Its most common forms are calcaneonavicular and talocalcaneal coalition, which are present in 53% and 37% of the cases, respectively. The onset of symptoms is related to tarsal bone ossification, and mean age for this event is estimated at 16 years for calcaneonavicular coalition. Surgical treatment is indicated for patients who did not improve symptoms with conservative treatment. The aim of this study is to present a surgical technique as a treatment option for resection of calcaneonavicular coalition associated with abnormal cuboid-navicular joint. Level of Evidence V; Therapeutic Studies; Expert Opinion.

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Patient-reported Outcomes of Tarsal Coalitions Treated With Surgical Excision

Cited by 41 publications

References 23 publications

Análisis tomográfico de la alineación del retropié en pacientes con coaliciones tarsianas

Análisis tomográfico de la alineación del retropié en pacientes con coaliciones tarsianas

A New Classification of Talocalcaneal Coalitions Based On Computed Tomography For Operative Planning

Calcaneonavicular coalition resection

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