How is talocalcaneal coalition treated?

How is talocalcaneal coalition treated?

Conclusions: A symptomatic talocalcaneal coalition can be treated with excision and fat graft interposition, and achieve good to excellent results in 85% of patients. Patients should be counseled that a subset may require further surgery to correct malalignment.

What causes a talocalcaneal coalition?

In most cases, tarsal coalition is caused by a gene mutation that disrupts the normal prenatal development of bones in the foot. Less frequently, the condition has been linked to infections, injuries or arthritis.

Is talocalcaneal Coalition rare?

Calcaneonavicular coalitions are more common than talocalcaneal coalitions. Together, these two types account for about 90 percent of all coalitions. There are other more rare types, as well.

How is tarsal coalition treated?

What is the treatment for tarsal coalition?

1. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen to reduce pain and inflammation.
2. Physical therapy, including massage, range-of-motion exercises and ultrasound therapy.
3. Steroid injection(s) into the affected joint to reduce pain and inflammation.

How common is Talocalcaneal coalition?

The two most common sites of tarsal coalition are between the calcaneus and navicular bones, or between the talus and calcaneus bones. However, other joints can also be affected. It is estimated that one out of every 100 people may have a tarsal coalition. In about 50% of cases, both feet are affected.

What is a Talocalcaneal coalition?

The talocalcaneal coalition is an anomalous connection between the talus and the calcaneus. The talocalcaneal coalition can be fibrous (syndesmosis), cartilaginous (synchondrosis), or bony (synostosis). The size of the talocalcaneal coalition determines the successful outcome after its resection.

How common is talocalcaneal coalition?

What is a talocalcaneal coalition?

Is tarsal coalition considered a disability?

Tarsal coalitions may cause altered foot biomechanics leading to patient disability from osteoarthritis and other sequelae. While some types of coalition are common, isolated talonavicular coalitions are relatively rare.

How painful is tarsal coalition?

Some individuals with tarsal coalition do not experience any pain. The abnormal connection between two bones in a tarsal coalition prevents what would otherwise be normal movement between the two bones. As consequence, the hindfoot and/or midfoot usually are stiff and immobile in a foot affected by a tarsal coalition.

Is tarsal coalition a birth defect?

The birth defect responsible for tarsal coalition is thought to often be an autosomal dominant genetic condition.

Can you run with tarsal coalition?

Clinical relevance: Regaining full recreational activity after resection of a tarsal coalition, i.e. running, may have implications on abnormal foot loading and torque, thus promoting degenerative changes in the subtalar and adjacent joints.

What is the talocalcaneal coalition?

The talocalcaneal coalition is one of the two most common subtypes of the tarsal coalition, the other being the calcaneonavicular coalition. It accounts for 45% of all tarsal coalitions, and although all three facets of the talocalcaneal joint can be involved, the middle facet is most commonly involved.

What is middle facet tarsal coalition?

Middle facet tarsal coalition is one of the commonly seen tarsal coalitions in clinical practice that can cause pain and associated flatfoot deformity. Excision of the coalition is one of the treatment options for symptomatic cases.

Which facet of the talocalcaneal joint is most commonly involved?

It accounts for 45% of all tarsal coalitions, and although all three facets of the talocalcaneal joint can be involved, the middle facet is most commonly involved. Talocalcaneal coalitions can be classified according to their location into the following subtypes 2:

Is there an alternative to resection of a middle facet coalition?

Since the alternative to resection of a middle facet coalition is arthrodesis of the subtalar joint, one must distinguish between feet in which there is mobility, and excision is more likely to be successful, and those that are rigid, for which arthrodesis is preferable.