TARSAL COALITION - AN UNUSUAL CAUSE OF FOOT PAIN - CLINICAL SPECTRUM AND TREATMENT IN 129 PATIENTS

被引:6
作者
CARSON, CW
GINSBURG, WW
COHEN, MD
MCLEOD, RA
KITAOKA, HB
机构
[1] MAYO CLIN & MAYO FDN, DEPT MED, DIV RADIOL, ROCHESTER, MN 55905 USA
[2] MAYO CLIN & MAYO FDN, DEPT MED, DIV ORTHOPED, ROCHESTER, MN 55905 USA
关键词
TARSAL COALITION; FOOT PAIN;
D O I
10.1016/0049-0172(91)90012-O
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tarsal coalition is an unusual cause of foot symptoms. The abnormal fusion of tarsal bones is caused by a congenital failure of mesenchyme to differentiate and form joints in the majority of cases. Symptoms from tarsal coalition generally present in the second decade of life when the congenital coalition ossifies and becomes immobile. Patients describe pain and stiffness of the foot and reduced subtalar motion, local tenderness, and pes planus may be found on examination. In the adolescent, symptoms from tarsal coalition are readily recognized, but the diagnosis is frequently delayed in older patients. This is possibly due to physician unawareness that coalition causes foot symptoms in older patients and to overlooking the coalition on plain film radiography. Tarsal coalition has an age-related distribution. The diagnosis should be considered in the patient with chronic foot pain, subtalar stiffness with or without a pes planus deformity. © 1991.
引用
收藏
页码:367 / 377
页数:11
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