Subluxation of the Talocalcaneal Joint in Adults Who Have Symptomatic Flatfoot* **

Ananthakrisnan, Dheera; Ching, Randal P.; Tencer, Allan F.; Hansen, Sigvard T.; Sangeorzan, Bruce J.

doi:10.2106/00004623-199908000-00010

Cited by 136 publications

(111 citation statements)

References 25 publications

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“…Thus, hindfoot valgus leads to a narrowing of the sinus tarsi due to the eversion. Moreover, it is reasonable that eversion beyond the normal range might cause abnormal osseous contact in the lateral side of the sinus tarsi, because subluxation of the talocalcaneal joint commonly occurs in this population [1].…”

Section: Discussionmentioning

confidence: 99%

An anatomic study of the accessory anterolateral talar facet

et al. 2015

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Section: Discussionmentioning

confidence: 99%

An anatomic study of the accessory anterolateral talar facet

et al. 2015

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“…This may account for some of the inconsistency between different studies 3,5 , which has raised concerns regarding the intrinsic imprecision of radiographs 7 . Simulated, weight-bearing CT scans have been used in the assessment of flatfeet and are made with the patient in the supine position with a transverse load applied to the sole of the foot 11,12,[16][17][18] . However, the load applied to the foot has been reported to range from 10% to 50% of body weight in some studies 11,16,17 , compared with a fixed force (75 N) in others 12,18 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Deformity with Respect to the Talus in Patients with Posterior Tibial Tendon Dysfunction and Controls Using Multiplanar Weight-Bearing Imaging or Conventional Radiography

Haleem

Pavlov

Bogner

et al. 2014

Journal of Bone and Joint Surgery

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Deformity with respect to the talus in posterior tibial tendon dysfunction is multifactorial, but was notably seen at the talonavicular joint in the sagittal plane with both modalities. Good to excellent agreement was found between weight-bearing radiographs and multiplanar weight-bearing images for many parameters; however, a greater number of significant differences was found between the flatfoot and control groups for multiplanar weight-bearing images. This implies a potential role for multiplanar modified sectional weight-bearing imaging as a more informative tool to assess posterior tibial tendon dysfunction in the physiological, full weight-bearing position.

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“…Eventually, a marked subluxation in the tarsal joints can occur, leading to distinct radiographic changes with malalignment of the medial column of the foot, and dorsolateral translation or subluxation of the navicular relative to the talus with uncovering of the talar head. The matching radiographic changes have led to the introduction of the term peritalar dorsolateral subluxation of the foot (PTDLS) (Ananthakrisnan et al 1999, Toolan et al 1999.…”

mentioning

confidence: 99%

Adult acquired flexible flatfoot, treated by calcaneo-cuboid distraction arthrodesis, posterior tibial tendon augmentation, and percutaneous Achilles tendon lengthening: A prospective outcome study of 20 patients

2006

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Background Several methods for the treatment of acquired flexible flatfoot have been described. Patients and methods We followed the outcome of calcaneocuboid distraction arthrodesis with lengthening of the lateral column prospectively in 20 patients (20 feet). The mean age of the patients was 55 (30-66) years and 16 were women. The lateral column lengthening was combined with percutaneous lengthening of the Achilles tendon and augmentation of the posterior tibial tendon in all patients. Fixed forefoot supination, hallux valgus, and/or symptomatic arthrosis, were corrected with arthrodesis of the first cuneiform-metatarsal joint (n = 8) and arthrodesis of the naviculo-cuneiform joint (n = 2). The Foot Function Index (FFI) and American Orthopedic Foot and Ankle Society (AOFAS) Clinical Rating Index hindfoot score (CRI) were completed preoperatively and at follow-up. Follow-up time was 25 (13-39) months. All patients were physically examined at follow-up at the outpatient clinic, and the overall satisfaction rate was registered. Standardized weightbearing radiographs were taken preoperatively and at follow-up. The lateral and dorsoplantar talometatarsal angle was measured, together with the ground-navicular distance.Results At follow-up, 17/20 feet had complete relief of pain or only minor symptoms. The overall patient satisfaction rate was excellent or good in 15 patients and 17 patients reported an increase in daily and/or recreational activities. 3 patients complained of pain at

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Subluxation of the Talocalcaneal Joint in Adults Who Have Symptomatic Flatfoot* **

Cited by 136 publications

References 25 publications

An anatomic study of the accessory anterolateral talar facet

An anatomic study of the accessory anterolateral talar facet

Comparison of Deformity with Respect to the Talus in Patients with Posterior Tibial Tendon Dysfunction and Controls Using Multiplanar Weight-Bearing Imaging or Conventional Radiography

Adult acquired flexible flatfoot, treated by calcaneo-cuboid distraction arthrodesis, posterior tibial tendon augmentation, and percutaneous Achilles tendon lengthening: A prospective outcome study of 20 patients

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