Journal of Foot and Ankle Surgery (Asia Pacific)

Register      Login

VOLUME 8 , ISSUE 2 ( April-June, 2021 ) > List of Articles

MINI-SYMPOSIUM: FLATFOOT IN ADULTS

Tarsal Coalitions in Adults: A Case Series

Rajiv Shah, Nikku Mathew Geevarughese, Shivam R Shah

Keywords : Calcaneonavicular coalition, Double arthrodesis, Gastrocnemius recession, Talocalcaneal coalition, Talonavicular arthrodesis, Talonavicular coalition, Tarsal coalition, Triple coalition

Citation Information : Shah R, Geevarughese NM, Shah SR. Tarsal Coalitions in Adults: A Case Series. J Foot Ankle Surg Asia-Pacific 2021; 8 (2):42-47.

DOI: 10.5005/jp-journals-10040-1138

License: CC BY-NC 4.0

Published Online: 00-06-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Tarsal coalition is an uncommon finding in children and adolescent age groups. Its occurrence in adulthood is even rarer. Though the majority of the coalitions are asymptomatic, pain, and fatigue in 25% of coalitions become indicators for aggressive treatment. Surgical procedures are undertaken only at the failure of conservative management. Triple arthrodesis has been advocated earlier but causes substantial stresses at the ankle joint. Hence, a limited arthrodesis aiming at the involved joint spares loading of the ankle and calcaneocuboid joints. More so, hindfoot valgus is a common component noted in tarsal coalitions and needs to be addressed along with isolated arthrodesis to achieve overall favorable outcomes. We present a series of tarsal coalitions in adults who presented with different symptoms, managed with corrective arthrodesis, and simultaneous treatment of associated pes planus deformity.


PDF Share
  1. Zhou B, Tang K, Hardy M. Talocalcaneal coalition combined with flatfoot in children: diagnosis and treatment: a review. J Orthop Surg Res 2014;9(1):129. DOI: 10.1186/s13018-014-0129-9.
  2. Brennan SA, Kiernan C, Maleki F, et al. Talonavicular synostosis with lateral ankle instability–a case report and review of the literature. Foot Ankle Surg 2012;18(3):e34–e36. DOI: 10.1016/j.fas.2012.01.002.
  3. Soni JF, Valenza W, Matsunaga C. Tarsal coalition. Curr Opin Pediatr 2020;32(1):93–99. DOI: 10.1097/MOP.0000000000000858.
  4. Carr 2nd JB, Yang S, Lather LA. Pediatric pes planus: a state-of-the-art review. Pediatrics 2016;137(3):e20151230. DOI: 10.1542/peds.2015-1230.
  5. Zaw H, Calder JD. Tarsal coalitions. Foot Ankle Clin 2010;15(2):349–364. DOI: 10.1016/j.fcl.2010.02.003.
  6. Varner KE, Michelson JD. Tarsal coalition in adults. Foot Ankle Int 2000;21(8):669–672. DOI: 10.1177/107110070002100807.
  7. Cohen BE, Davis WH, Anderson RB. Success of calcaneonavicular coalition resection in the adult population. Foot Ankle Int 1996;17(9):569–572. DOI: 10.1177/107110079601700912.
  8. Mosca VS, Bevan WP. Talocalcaneal tarsal coalitions and the calcaneal lengthening osteotomy: the role of deformity correction. J Bone Joint Surg Am 2012;94(17):1584–1594. DOI: 10.2106/JBJS.K.00926.
  9. Shang L, Wang X, Wang A, et al. Evans lateral lengthening calcaneal osteotomy in treatment of talocalcaneal coalition with hindfoot valgus deformity. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020;34(2):173–178.
  10. Gougoulias N, O’Flaherty M, Sakellariou A. Taking out the tarsal coalition was easy: but now the foot is even flatter. What now? Foot Ankle Clin 2014;19(3):555–568. DOI: 10.1016/j.fcl.2014.06.011.
  11. Han G, Ceilley R. Chronic wound healing: a review of current management and treatments. Adv Ther 2017;34(3):599–610. DOI: 10.1007/s12325-017-0478-y.
  12. Bohne WH. Tarsal coalition. Curr Opin Pediatr 2001;13(1):29–35. DOI: 10.1097/00008480-200102000-00005.
  13. Farid A, Faber FWM. Bilateral triple talocalcaneal, calcaneonavicular, and talonavicular tarsal coalition: a case report. J Foot Ankle Surg 2019;58(2):374–376. DOI: 10.1053/j.jfas.2018.08.047.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.