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. 2024 Apr 9:7:100049.
doi: 10.1016/j.jposna.2024.100049. eCollection 2024 May.

Talocalcaneal coalition resection

Vincent S Mosca  1 , Javier Masquijo  2
Affiliations

Talocalcaneal coalition resection

Vincent S Mosca et al. J Pediatr Soc North Am. .

Abstract

Persistently symptomatic talocalcaneal coalitions (TCCs) may require surgical intervention. Aiming to enhance treatment outcomes, this paper describes the precise clinical and radiographic assessment (including advanced imaging) of a foot with a TCC, the indications for surgery, the detailed surgical resection technique, and the appropriate postoperative care.

Key concepts: (1)It is important to confirm the precise location(s) of foot and ankle pain in a foot with a TCC.(2)A CT scan in all 3 planes and with 3D reconstruction is needed for comprehensive preoperative planning. Assessment of the foot with a TCC includes determining if other coalitions exist in the foot.(3)Surgical management is based on the health/thickness of the posterior facet and the alignment of the hindfoot.(4)Successful coalition resection is confirmed by visualizing vertical distraction of the posterior facet and an increase in inversion/eversion of the subtalar joint intraoperatively.

Keywords: Adolescents; Foot; Reconstruction; Resection; Talocalcaneal coalition; Tarsal coalition.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1
Figure 1
14-year-old male with a symptomatic talocalcaneal coalition. A) Lateral radiograph showing good foot alignment and indirect signs of TCC (incomplete C sign and talar beaking). B) CT scan demonstrates correct hindfoot alignment and a healthy posterior facet (equal or very close to the thickness of the ankle joint). CT, computed tomography scan.
Figure 2
Figure 2
Intraoperative image after coalition resection and distraction with a laminar spreader showing the posterior facet. Abbreviations: MF, middle facet of the calcaneus; PF, posterior facet of the calcaneus; NVB, neurovascular bundle; FDL, flexor digitorum longus; FHL, flexor hallucis longus.
See this image and copyright information in PMC

References

    1. Harris B. Anomalous structure in the developing human foot. Anat Rec. 1955;121:399–406.
    1. Leonard M.A. The inheritance of tarsal coalition and its relationship to spastic flat foot. J Bone Jt Surg Br. 1974;56B(3):520–526. PMID: 4421359. - PubMed
    1. Harris R.I., Beath T. Etiology of peroneal spastic flat foot. J Bone Jt Surg Br. 1948;30B(4):624–634. PMID: 18894612. - PubMed
    1. Scranton P.E., Jr. Treatment of symptomatic talocalcaneal coalition. J Bone Jt Surg Am. 1987;69:533–539. PMID: 3571312. - PubMed
    1. Wilde P.H., Torode I.P., Dickens D.R., Cole W.G. Resection for symptomatic talocalcaneal coalition. J Bone Jt Surg Br. 1994;76(5):797–801. PMID: 8083272. - PubMed

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