https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2019.318

DOWNLOAD PDF
Table of Contents

Type of Article:  Case Report

Volume 7; Issue 4.2 (November 2019)

Page No.: 7123-7126

DOI: https://dx.doi.org/10.16965/ijar.2019.318

TIBIO-TALAR COALITION – A CASE REPORT AND REVIEW OF THE LITERATURE

Matthew JR Clark *1,2, Jimmy Murray 1, Emerson Budhoo 1, Peter Metherall 2, Adrian Highland 1, Mark Davies 1.

*1 Department of Orthopaedics, Sheffield Teaching Hospitals, United Kingdom.

2 The University of Sheffield, Sheffield, United Kingdom.

Corresponding author: Matthew Clark, Department of Trauma and Orthopaedics, Northern General Hospital, Sheffield Teaching Hospitals, Herries Road, Sheffield, S5 7AU, United Kingdom. Mobile: +44 7894532725  E-Mail: m.j.clark@sheffield.ac.uk

Abstract

Background: A tarsal coalition is a bridging of two or more of the bones in the hindfoot. Multiple coalitions are described in the literature. However, the presence of a tibio-talar coalition has not previously been reported.

Results : Here, we describe the first reported case of tibio-talar and fibulo-talar coalition in the literature in a 31-year-old male. The patient had a 5-year history of bilateral hindfoot and ankle pain, with an established right sided talo-calaneal coalition. Investigations and subsequent open chilectomy and debridement surgery confirmed a tibio-talar and fibulo-talar coalition. The patient was discharged at one-year following surgery as he was pain free and returned to work.

Conclusions: We report the first case of failure of mesenchymal segmentation leading to tibio-talar fibrous coalition and fibulo-talar coalition. In this case surgical debridement provided resolution of symptoms. Level of Clinical Evidence: 4

Key words: Coalition, foot deformity, tarsal coalition, synostosis, surgery.

REFERENCES

  1. Mosca VS, Bevan WP. Talocalcaneal tarsal coalitions and the calcaneal lengthening osteotomy: the role of deformity correction. J Bone Joint Surg Am 2012;94:1584–94.
  2. Stormont DM, Peterson HA. The relative incidence of tarsal coalition. Clin Orthop Relat Res 1983;28–36.
  3. Conway JJ, Cowell HR. Tarsal coalition: clinical significance and roentgenographic demonstration. Radiology 1969;92:799–811.
  4. Lawrence DA, Rolen MF, Haims AH, Zayour Z, Moukaddam HA. Tarsal Coalitions: Radiographic, CT, and MR Imaging Findings. HSS J 2014;10:153–66.
  5. Mosier KM, Asher M. Tarsal coalitions and peroneal spastic flat foot. A review. J Bone Joint Surg Am 1984;66:976–84.
  6. Solomon LB, Ruhli FJ, Taylor J, Ferris L, Pope R, Henneberg M. A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet. J Orthop Res 2003;21:352–8.
  7. Harris RI. Rigid valgus foot due to talocalcaneal bridge. J Bone Joint Surg Am 1955;37-A:169–83.
  8. Leonard MA. The inheritance of tarsal coalition and its relationship to spastic flat foot. J Bone Joint Surg Br 1974;56B:520–6.
  9. Wray JB, Herndon CN. Hereditary Transmission of Congenital Coalition of the Calcaneus to the Navicular. JBJS 1963;45.
  10. Richer EJ, Pawley BK. Multiple unilateral tarsal coalitions in a nonsyndromic patient. Clin Imaging 2016;40:247–50.
  11. Alatassi R, Alsiddiky A, Alajlan A, Koaban S. Nonsyndromic Massive Tarsal and Tarsometatarsal Coalitions in a YoungFemale. J Foot Ankle Surg 2019;58(3):581-585.
  12. Downey MS. Tarsal coalitions. A surgical classification. J Am Podiatr Med Assoc 1991;81:187–97.
  13. Denning JR. Tarsal Coalition in Children. Pediatr Ann 2016;45:e139-43.
  14. Perlman MD, Wertheimer SJ. Tarsal coalitions. J Foot Surg 1986;25:58–67.

Cite this article: Matthew JR Clark, Jimmy Murray, Emerson Budhoo, Peter Metherall, Adrian Highland, Mark Davies. TIBIO-TALAR COALITION – A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Anat Res 2019;7(4.2):7123-7126. DOI: 10.16965/ijar.2019.318