Endoscopic resection of a calcaneonavicular coalition
Tóm tắt
Calcaneonavicular coalition is a congenital anomaly characterized by a connection between the calcaneus and the navicular. Surgery is required in case of chronic pain and after failure of conservative treatment. The authors present here the surgical technique and results of a 2-portals endoscopic resection of a calcaneonavicular synostosis. Both visualization and working portals must be identified with accuracy around the tarsal coalition with fluoroscopic control and according to the localization of the superficial peroneus nerve, to avoid neurologic damages during the resection. The endoscopic procedure provides a better visualization of the whole resection area and allows to achieve a complete resection and avoid plantar residual bone bar. The other important advantage of the endoscopic technique is the possibility to assess and treat in the same procedure-associated pathologies such as degenerative changes in the lateral side of the talar head with debridement and resection.
Tài liệu tham khảo
Cowell HR (1970) Extensor brevis arthroplasty. J Bone Joint Surg Am 52:820
Cowell HR (1975) Diagnosis and management of peroneal spastic flatfoot. Instr Course Lect 24:94–103
El Hayek T, D’Ollone T, Rubio A, Lusakisimo S, Griffet J (2009) A too-long anterior process of the calcaneus: a report of 31 operated cases. J Pediatr Orthop B 18:163–166
Elkus RA (1986) Tarsal coalition in the young athlete. Am J Sports Med 14:477–480
Gonzalez P, Kumar SJ (1990) Calcaneonavicular coalition treated by resection and interposition of the extensor digitorum brevis muscle. J Bone Joint Surg Am 72:71–77
Harris R, Beath T (1948) Etiology of peroneal spastic flatfoot. J Bone Joint Surg Br 30:624–634
Jayakumar S, Cowell HR (1977) Rigid flatfoot. Clin Orthop Relat Res 122:77–84
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the Ankle-Hindfoot, Midfoot, Hallux and Lesser Toes. Foot Ankle Int 15:349–353
Leonard M (1974) The inheritance of tarsal coalition and its relationship to spastic flatfoot. J Bone Joint Surg Br 56:520–526
Lui TH (2006) Arthroscopic resection of the calcaneonavicular coalition or the “too-long” anterior process of the calcaneus. Arthroscopy 22:903–904
Lui TH (2007) Arthroscopy and endoscopy of the foot and ankle: indications for new techniques. Arthroscopy 23:889–902
Lysack JT, Fenton PV (2004) Variations in calcaneonavicular morphology demonstrated with radiography. Radiology 230:493–497
Molano CB, Golanó P, Garcia MA, López-Vidriero E (2009) Experimental model in cadavera of arthroscopic resection of calcaneonavicular coalition and its first in vivo application: preliminary communication. J Pediatr Orthop B 18:347–353
Moyes ST, Crawfurd EJ, Aichroth PM (1994) The interposition of extensor digitorum brevis in the resection of calcaneonavicular bars. J Pediatr Orthop 14:387–388
Mubarak SJ, Patel PN, Upasani W, Moor MA, Wenger DR (2009) Calcaneonavicular coalition: treatment by excision and fat graft. J Pediatr Orthop 29:418–426
Pouliquen JC, Duranthon LD, Ch Glorion, Kassis B, Langlais J (1998) The too-long anterior process calcaneus. A report of 39 cases in 25 children and adolescents. J Pediatr Orthop 18:333–336
Solomon LB, Ruhli FJ, Taylor J, Ferris L, Pope R, Henneberg M (2003) A dissection and computer tomography study of tarsal coalitions in 100 cadaver feet. J Orthop Res 21:352–358
Swiontkowski PE, Scranton PE, Hansen S (1983) Tarsal coalitions. Long-term results of surgical treatment. J Pediatr Orthop 3:287–292