Tarsal coalition in adults

K. E. Varner, J. D. Michelson

Research output: Contribution to journalArticle

Abstract

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 I 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.

Original languageEnglish (US)
Pages (from-to)669-672
Number of pages4
JournalFoot and Ankle International
Volume21
Issue number8
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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