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Tarsal coalition

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https://www.readbyqxmd.com/read/28883007/bilateral-tarsal-tunnel-syndrome-attributed-to-bilateral-fibrous-tarsal-coalition-and-symmetrical-hypertrophy-of-the-sustentaculum-tali
#1
Anil K Bhat, Sandesh Madi, Prajwal Prabhudev Mane, Ashwath Acharya
Tarsal tunnel syndrome (TTS) is one of the frequently encountered entrapment neuropathies of the lower limb. Most often the aetiology is considered to be idiopathic. However, it has to be thoroughly investigated to rule out diverse extrinsic and intrinsic causes. The sustentaculum tali (ST) forms the superior part of the distal tarsal tunnel, and any increase in its size may result in irritation of the tibial nerve or its branches, the medial and lateral plantar nerves or decrease the overall volume of the tarsal tunnel culminating to clinical features of TTS...
September 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28861205/gait-analysis-of-symptomatic-flatfoot-in-children-an-observational-study
#2
Ha Yong Kim, Hyuck Soo Shin, Jun Hyuck Ko, Yong Han Cha, Jae Hoon Ahn, Jae Yeon Hwang
BACKGROUND: Flatfoot deformity is a lever arm disease that incurs kinetic inefficiency during gait. The purpose of this study was to measure the degree of kinetic inefficiency by comparing the gait analysis data of a flatfoot group with a normal control group. METHODS: The patient group consisted of 26 children (21 males and 5 females) with symptomatic flatfoot. They were examined with gait analysis between May 2005 and February 2014. Exclusion criteria were patients with secondary flatfoot caused by neuromuscular disorders, tarsal coalition, vertical talus, or others...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28842093/intraoperative-three-dimensional-navigation-for-talocalcaneal-coalition-resection
#3
William R Aibinder, Ernest Y Young, Todd A Milbrandt
Talocalcaneal tarsal coalitions are a common source of foot pain, stiffness, and deformity. These coalitions are treated symptomatically with rest and periods of immobilization. When those measures fail, surgical resection is attempted. This procedure is an anatomic challenge with the consequence of leaving residual coalition. The residual coalition primarily results from difficulty with intraoperative imaging because fluoroscopy does not provide adequate detail of this area. Some investigators have recommended intraoperative computed tomography after resection with reasonable results...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28777279/fat-graft-and-bone-wax-interposition-provides-better-functional-outcomes-and-lower-reossification-rates-than-extensor-digitorum-brevis-after-calcaneonavicular-coalition-resection
#4
Javier Masquijo, Victoria Allende, Armando Torres-Gomez, Matthew B Dobbs
BACKGROUND: Calcaneonavicular coalitions are the most common form of tarsal coalitions. The prefered treatment for symptomatic coalitions is surgical resection; however, there are no published studies that directly compare different interposition techniques. The purpose of the present study was to retrospectively compare pain relief, functional outcomes, and complications of children and adolescents who had a resection of a symptomatic calcaneonavicular coalition with interposition of fat graft, bone wax, or extensor digitorum brevis (EDB)...
October 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28633780/subtalar-coalitions-does-the-morphology-of-the-subtalar-joint-involvement-influence-outcomes-after-coalition-excision
#5
Susan T Mahan, Victoria I Prete, Samantha A Spencer, James R Kasser, Sarah D Bixby
Posteromedial subtalar (PMST) coalitions are a recently described anatomic subtype of tarsal coalitions. We compared with clinical patient-based outcomes of patients with PMST and standard middle facet (MF) coalitions who had undergone surgical excision of their coalition. The included patients had undergone surgical excision of a subtalar tarsal coalition, preoperative computed tomography (CT), and patient-based outcomes measures after surgery (including the American Orthopaedic Foot and Ankle Society [AOFAS] scale and University of California, Los Angeles [UCLA], activity score)...
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28576192/subtalar-joint-arthrodesis-for-elective-and-posttraumatic-foot-and-ankle-deformities
#6
REVIEW
Lawrence A DiDomenico, Danielle N Butto
Subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis, tarsal coalition management, posterior tibial tendon dysfunction, and inflammatory arthropathies, and can be used in deformity correction. The goals of the procedure are to eliminate pain, improve function, restore stability, and realign the hind foot. The procedure has high patient satisfaction with low complications while preserving motion in adjacent tarsal joints. Joint preparation is important and time should be spent preparing the joint for successful arthrodesis and the fixation construct needs to be done well and effectively to provide a solid Arbeitsgemeinschaft für Osteosynthesefragen (AO) construct for good results...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28558999/massive-osteochondral-lesion-of-the-talus-in-a-skeletally-immature-patient-associated-with-a-tarsal-coalition-and-valgus-hindfoot
#7
Pablo A I Slullitel, Maria L Tripodi, Santiago T Bosio, Miguel Puigdevall, Rubén Maenza
Rarely, osteochondral lesions of the talus occur without a history of trauma. Accurate interpretation of the mechanical load distributions onto the ankle leading to potential atraumatic cartilage damage must always be studied. The published data on the optimal treatment of talar osteochondral lesions in skeletally immature patients are scarce, especially when the lesions are associated with hindfoot malalignment. We describe the case of a pediatric female with an atraumatic osteochondral lesion of the talus associated with a talocalcaneal coalition and a valgus hindfoot, which we consider the first case to be reported...
May 27, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28228896/a-rare-case-of-cubonavicular-coalition
#8
Jason S Chu, Tyler Underriner, Arthur Yegorov
Tarsal coalition is a condition described by partial union between tarsal bones. Its clinical significance is the potential cause for chronic pain in the ankle and foot. Diagnosis of this condition may be delayed until adolescence or early adulthood, and is often made incidentally on examination for other purposes. Treatments for this condition can range from conservative options to surgical approach. The calcaneonavicular and talocalcaneal subtypes make up the majority of this condition, with involvement among other tarsal bones much rarer in comparison...
March 2017: Radiology case reports
https://www.readbyqxmd.com/read/28032038/recurrent-missense-mutation-of-gdf5-p-r438l-causes-proximal-symphalangism-in-a-british-family
#9
Andreas Leonidou, Melita Irving, Simon Holden, Marcos Katchburian
Proximal symphalangism (SYM1B) (OMIM 615298) is an autosomal dominant developmental disorder affecting joint fusion. It is characterized by variable fusions of the proximal interphalangeal joints of the hands, typically of the ring and little finger, with the thumb typically being spared. SYM1 is frequently associated with coalition of tarsal bones and conductive hearing loss. Molecular studies have identified two possible genetic aetiologies for this syndrome, NOG and GDF5. We herein present a British caucasian family with SYM1B caused by a mutation of the GDF5 gene...
December 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27888852/medial-sided-ankle-pain-deltoid-ligament-and-beyond
#10
REVIEW
Julia Crim
Abnormalities of the medial ligaments and posterior tibial tendon can occur because of acute injury or chronic instability or malalignment. Medial ankle injuries may occur because of pronation or supination-external rotation injuries. Deltoid ligament injuries have a significant impact on lateral ankle instability but can be overlooked in patients with lateral ligament injuries. Posterior tibial tendon dysfunction is usually associated with spring ligament or flexor retinaculum injury. Tarsal tunnel syndrome, accessory flexor muscles, and subtalar coalition should be considered as well as ligament and tendon tears in differential diagnosis of chronic medial ankle pain...
February 2017: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27888848/postoperative-foot-and-ankle-mr-imaging
#11
REVIEW
Samuel D Madoff, Jeffrey Kaye, Joel S Newman
MR imaging has an important role in the evaluation of the postoperative foot and ankle. In this article, a variety of operative techniques and postoperative findings in the foot and ankle are described, including tendon and ligament reconstruction, as well as the treatment of tarsal coalition and Morton neuroma. The role of MR imaging in the assessment of complications of foot and ankle surgery is also detailed.
February 2017: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27842673/mr-imaging-as-a-problem-solving-tool-in-posterior-ankle-pain-a-review
#12
REVIEW
Gloria N L Wong, Tien Jin Tan
Posterior ankle pain is a cause of chronic pain and disability, afflicting a wide range of individuals. While proper identification of the cause is essential for timely and adequate treatment, identifying the cause and excluding mimickers is often challenging for the physician due to the complex nature of the joint. In addition, pathology that can cause posterior ankle pain may occur on their own or in co-existence. Clinical conditions that can present as posterior ankle pain include: posterior ankle impingement, Achilles tendon pathology, medial flexor tendon pathology, peroneal pathology, retrocalcaneal bursitis, posterior subtalar tarsal coalition, sinus tarsi, and tarsal tunnel syndrome...
December 2016: European Journal of Radiology
https://www.readbyqxmd.com/read/27589967/tarsal-tunnel-disease-and-talocalcaneal-coalition-mri-features
#13
Erin FitzGerald Alaia, Zehava Sadka Rosenberg, Jenny T Bencardino, Gina A Ciavarra, Ignacio Rossi, Catherine N Petchprapa
OBJECTIVE: To assess, utilizing MRI, tarsal tunnel disease in patients with talocalcaneal coalitions. To the best of our knowledge, this has only anecdotally been described before. MATERIALS AND METHODS: Sixty-seven ankle MRIs with talocalcaneal coalition were retrospectively reviewed for disease of tendons and nerves of the tarsal tunnel. Interobserver variability in diagnosing tendon disease was performed in 30 of the 67 cases. Tarsal tunnel nerves were also evaluated in a control group of 20 consecutive ankle MRIs...
November 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27508084/a-novel-nonsense-mutation-in-the-nog-gene-causes-familial-nog-related-symphalangism-spectrum-disorder
#14
Kenichi Takano, Noriko Ogasawara, Tatsuo Matsunaga, Hideki Mutai, Akihiro Sakurai, Aki Ishikawa, Tetsuo Himi
The human noggin (NOG) gene is responsible for a broad spectrum of clinical manifestations of NOG-related symphalangism spectrum disorder (NOG-SSD), which include proximal symphalangism, multiple synostoses, stapes ankylosis with broad thumbs (SABTT), tarsal-carpal coalition syndrome, and brachydactyly type B2. Some of these disorders exhibit phenotypes associated with congenital stapes ankylosis. In the present study, we describe a Japanese pedigree with dactylosymphysis and conductive hearing loss due to congenital stapes ankylosis...
2016: Human Genome Variation
https://www.readbyqxmd.com/read/27405458/-surgical-treatment-of-talocalcaneal-coalition-experience-with-80%C3%A2-cases-of-pediatric-or-adolescent-patients
#15
J Hamel, M Nell, C Rist
INTRODUCTION: There is still a controversial discussion on the treatment of talocalcaneal coalition with and without planovalgus deformity. From 2002-2014 80 cases of talocalcaneal coalition in children and adolescents under 18 years of age were surgically treated by J. Hamel. The objective of this study is a retrospective analysis, especially of unfavourable results. METHODS: Patients with minimum follow up of 12 months were included (35.7 months on average)...
December 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27261958/the-double-medial-malleolus-a-new-physical-finding-in-talocalcaneal-coalition
#16
Vanna Rocchi, Ming-Tung Huang, James D Bomar, Scott Mubarak
PURPOSE: It has been the observation of the senior author that there is a bony fullness or "double medial malleolus" over the middle facet as a consistent finding with most talocalcaneal coalitions (TCC). To document this observation, we reviewed records and radiographs in 3 patient groups. METHODS: Part 1: retrospective chart review was completed for 111 feet to determine the clinical presence of a palpable "double medial malleolus." Part 2: computed tomography (CT) scans for evaluation of tarsal coalition or symptomatic flatfoot between January 2006 and December 2014 were retrospectively reviewed for the same cohort...
June 2, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27095508/rapid-prototyping-for-patient-specific-surgical-orthopaedics-guides-a-systematic-literature-review
#17
REVIEW
Diana Popescu, Dan Laptoiu
There has been a lot of hype surrounding the advantages to be gained from rapid prototyping processes in a number of fields, including medicine. Our literature review aims objectively to assess how effective patient-specific surgical guides manufactured using rapid prototyping are in a number of orthopaedic surgical applications. To this end, we carried out a systematic review to identify and analyse clinical and experimental literature studies in which rapid prototyping patient-specific surgical guides are used, focusing especially on those that entail quantifiable outcomes and, at the same time, providing details on the guides' design and type of manufacturing process...
June 2016: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/27064471/tarsal-coalition-in-children
#18
REVIEW
Jaime Rice Denning
Tarsal coalition (a congenital fibrous, cartilaginous, or bony connection between two bones) classically presents with recurrent ankle sprains or with insidious onset of a painful, stiff flatfoot. Flatfoot is a benign finding most of the time, but it is important to distinguish the rigid flatfoot from the flexible flatfoot. A patient with recurrent sprains of the ankle or a stiff flatfoot should be evaluated for a tarsal coalition. The key to making the diagnosis is careful examination for stiffness in the subtalar joint and appropriate imaging studies...
April 2016: Pediatric Annals
https://www.readbyqxmd.com/read/26995581/multiple-unilateral-tarsal-coalitions-in-a-nonsyndromic-patient
#19
Edward J Richer, Barbara K Pawley
Tarsal coalition is relatively frequent, with an estimated prevalence of 1-2%. Coalitions are most commonly talocalcaneal or calcaneonavicular, accounting for 90% of cases. While it is well known that bilateral tarsal coalitions can occur in up to 50% of cases, the presence of multiple coalitions in the same foot is less well described. In this report, we present a case of talocalcaneal and calcaneonavicular coalitions occurring in the same foot and briefly review the relevant literature.
March 2016: Clinical Imaging
https://www.readbyqxmd.com/read/26908688/pediatric-pes-planus-a-state-of-the-art-review
#20
REVIEW
James B Carr, Scott Yang, Leigh Ann Lather
Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments...
March 2016: Pediatrics
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