Tarsal Coalition in Adults

Foot and Ankle International - Tập 21 Số 8 - Trang 669-672 - 2000
Kevin E. Varner1, James D. Michelson1
1Assistant Professor, Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas

Tóm tắt

32 feet in 27 adults, seen at The Johns Hopkins Hospital Foot and Ankle Clinic from 1993-1998, with the diagnosis of tarsal coalition were retrospectively reviewed. There were 18 subtalar coalitions, 14 calcaneonavicular coalitions and 1 naviculocuneiform coalition. The average age was 40 years. Clinically, 22 feet had a neutral heel, 7 had a valgus heel with flattening of the longitudinal arch, 1 had a varus heel and 2 heels had an unknown position. Subtalar motion was decreased in 23 feet. Peroneal spasm was only seen in 2 patients. 11 feet were asymptomatic. Nonoperative treatment consisting of activity modification, nonsteroidal anti-inflammatory medications and casting was successful in the majority of patients. Subtalar fusion was performed in 4 feet and coalition resection in 1. The treatment of a symptomatic tarsal coalition in the adult is as in children but the clinical presentation may differ.

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Thông tin xuất bản

Foot and Ankle International

Tập 21 Số 8

669-672

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