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Review
. 2022 Dec 29;10(1):72.
doi: 10.3390/children10010072.

Fracture through Pre-Existing Tarsal Coalition: A Narrative Review

Albert T Anastasio  1 , Emily M Peairs  2 , Caitlin Grant  2 , Billy I Kim  2 , Anthony Duruewuru  3 , Samuel B Adams  1
Affiliations
Review

Fracture through Pre-Existing Tarsal Coalition: A Narrative Review

Albert T Anastasio et al. Children (Basel). .

Abstract

Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previous research has described the association of tarsal coalitions with fractures of the lower extremity. Multiple reports of acute fracture in the presence of tarsal coalition have been presented, as have reports of stress fractures of the foot and ankle with concomitant coalition, insidious in onset and thought to be related to aberrancies in foot and ankle biomechanics. The purpose of this review is to discuss the biomechanics seen in tarsal coalitions and to describe reports of fracture occurring concomitantly with tarsal coalitions. We will discuss diagnostic options and treatment approaches in the setting of fracture with preexisting tarsal coalition.

Keywords: ankle; biomechanics; calcaneonavicular coalitions; foot; stress fracture; talocalcaneal coalition; tarsal coalition.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Talocalcaneal coalition, as viewed from two coronal CT sections (upper images) and three-dimensional (3D) reconstruction (lower image). Abnormal bony coalition is noted at the medial aspect of the posterior facet of the subtalar joint [10] (Borrowed using Creative Commons licensing).
Figure 2
Figure 2
Cropped 3D reconstruction demonstrating sagittal (a) and axial (b) views of a calcaneonavicular coalition. (calcaneus (Ca), navicular (N), talus (T) and cuboid (Cu)) [11] (borrowed using Creative Commons licensing).
Figure 3
Figure 3
Study Selection and Search Criteria.
See this image and copyright information in PMC

References

    1. Bohne W.H. Tarsal coalition. Curr. Opin. Pediatr. 2001;13:29–35. doi: 10.1097/00008480-200102000-00005. - DOI - PubMed
    1. Kulik S.A., Clanton T.O. Tarsal Coalition. Foot Ankle Int. 1996;17:286–296. doi: 10.1177/107110079601700509. - DOI - PubMed
    1. Stormont D.M., Peterson H.A. The relative incidence of tarsal coalition. Clin. Orthop. Relat. Res. 1983;181:28–36. doi: 10.1097/00003086-198312000-00006. - DOI - PubMed
    1. Soni J.F., Valenza W., Matsunaga C. Tarsal coalition. Curr Opin Pediatr. 2020;32:93–99. doi: 10.1097/MOP.0000000000000858. - DOI - PubMed
    1. Graham J.M., Jr., Braddock S.R., Mortier G.R., Lachman R., Van Dop C., Jabs E.W. Syndrome of coronal craniosynostosis with brachydactyly and carpal/tarsal coalition due to Pro250Arg mutation in FGFR3 gene. Am. J. Med. Genet. 1998;77:322–329. doi: 10.1002/(SICI)1096-8628(19980526)77:4<322::AID-AJMG14>3.0.CO;2-K. - DOI - PubMed

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