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


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


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.


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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