Tarsal Coalition (Subscribe)  

CALCANEONAVICULAR COALITION
# HISTORY: The patient is a 13 year old white female with complaints of left foot pain. The pain has been present for approximately 2 years. There is no specific history of a traumatic event. The pain is primarily at the lateral aspect of the foot and is worse...

Excision of Calcaneo-Navicular Bar for Painful Spasmodic Flat Foot Mitchell and Gibson JBJS 49-B (2): 281. (1967) (Full Text)

Tarsal coalition is also sometimes referred to as peroneal spastic flatfoot. It is almost always a congenital anomaly in which there is a lack of segmentation involving the bones of the foot. The form of tarsal coalition presented here, Calcaneonavicular coalition, is the most frequent type, being found in approximately...

This lecture covers:
* Talipes deformities (clubfoot)
* Pes planus (flat feet)
* Congenital vertical talus
* Pes cavus
* Tarsal coalitions

The congenital abnormalities covered in this chapter are: metatarsus adductus, skew foot, congenital clubfoot, calcaneovalgus foot, vertical talus, and tarsal coalition. Author - R. Jay Cummings, M.D. Nemours Children's Clinic Jacksonville, FL 32207

Definition
Congenital fibrous, cartilaginous or bony connection of 2 or more tarsal bones due to failure of segmentation
Peroneal Spastic Flat Foot Refers to:
- tarsal coalition
- tarsal pain
- reduced STJ motion
- rigid pes planus
- peroneal muscle spasm (tightness)

abnormal fibrous or bony fusion of one or more tarsal bones etiology: congenital, infection, trauma, articular disorders, surgery
age: 20-30's
symptoms: pain upon standing or with prolonged activity
types:
* calcaneonavicular
  o most common, seen on 45 degree medial oblique view
* talocalcaneal
  o usually b/w talus and sustentaculum tali, talar beaking, talar broadening, narrowing of...

Tarsal coalition is a condition in which 2 or more bones in the midfoot or hindfoot are joined. The most common types of coalitions are those between the calcaneus and either the talus or the navicular bones. Patients with this congenital condition usually present during late childhood or adolescence, but...

Core Curriculum
Objectives
1. Describe the natural history of tarsal coalition in the child, including time and character of onset of symptoms
2. Describe physical findings in examination of the patient with tarsal coalition
3. Describe the genesis of symptoms in patients with tarsal coalition
...