Rigid Flatfoot in the Young Adult

Rankin, Edward A.; Baker, George I.

doi:10.1097/00003086-197410000-00029

Cited by 40 publications

(19 citation statements)

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“…Although pes planus and restricted or absent subtalar motion remains characteristic, the presence of peroneal spasm and heel valgus is found less often in the adult. 5,9 Valgus alignment of the hindfoot was found to be only 22% in a review of patients aged 16 to 81 years. 5 In addition, adults tend to respond more favorably to nonoperative therapy.…”

Section: Discussionmentioning

confidence: 99%

Results of Resection for Middle Facet Tarsal Coalitions in Adults

Philbin

Homan

Berlet

2008

Foot & Ankle Specialist

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The optimum surgical procedure for talocalcaneal coalitions has not been definitively determined. The authors performed this study to evaluate the results achieved with talocalcaneal tarsal coalition resection with regard to preoperative radiographic findings in relation to postoperative outcomes. They reviewed the medical records of 7 patients and conducted telephone interviews using a modified American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. The average age at surgery was 31 years (range, 15-56 years), and the follow-up period averaged 17.4 months (range, 7-36 months). In 6 cases, the resection was successful, with the mean preoperative Ankle-Hindfoot score of 36.5 improving to 50.5 (P = .51). One patient failed the resection and underwent a subtalar arthrodesis 1 year after the resection procedure. Radiographic evaluation showed that higher cartilaginous content of the tarsal coalition was associated with a better outcome in Ankle-Hindfoot scores (r = .894, P = .016); the relationship of patient age and changes in scores was r = .692 but was not statistically significant because of small sample size. Resection of tarsal coalition led to higher Ankle-Hindfoot scores for 6 of 7 patients at least 1 year postoperatively, and that higher cartilagenous content of the coalition was statistically significantly correlated with better postoperative outcomes.

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Section: Discussionmentioning

confidence: 99%

Results of Resection for Middle Facet Tarsal Coalitions in Adults

Philbin

Homan

Berlet

2008

Foot & Ankle Specialist

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“…Abnormal motion of the subtalar joint may lead to these findings and thus make the clinician suspicious of a subtalar coalition. 12,13,18 Additional signs that may be seen on plain radiographs as described by Crim and Kjeldsberg 19 include a loss of the middle facet, a short neck of the talus, and a dysmorphic sustentaculum tali. 3,19 Finally, the "C sign" has classically been described on lateral radiographs as a circular density formed by the outline of the dome of the talus and the inferior aspect of the sustentaculum.…”

Section: Discussionmentioning

confidence: 94%

“…12 Rankin and Baker 13 reported that in 24 military recruits undergoing basic training, symptoms may initially present after stressful activity, but further inquiry revealed prior history of foot pain. 13 Other case reports have shown incidental discovery of a coalition during the workup for a talar body fracture 14 or cavovarus foot deformity. 15 Recently, a fracture of a subtalar coalition was discovered during a workup for an ankle sprain.…”

Section: Introductionmentioning

confidence: 99%

Subtalar Coalitions in the Adult

Flynn

Wukich

Conti

et al. 2015

Foot and Ankle Clinics

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“…On reviewing the literature, we have only found four cases of cuboid-navicular coalition in PubMed in January 2011 4,6,8,9 and another four in the text by Jahss 10 from other authors [11][12][13][14] . In one of the texts published by Feliu 8 , it was discovered due to the onset of pain symptoms, but the symptoms disappeared with conventional analgesic therapy and no other therapeutic measures were required.…”

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confidence: 99%