{"id":2105,"date":"2019-11-05T14:39:28","date_gmt":"2019-11-05T14:39:28","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2105"},"modified":"2019-11-05T14:39:28","modified_gmt":"2019-11-05T14:39:28","slug":"ijar-2019-318","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-318","title":{"rendered":"IJAR.2019.318"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.7.4\/IJAR.2019.318.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-7-4.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Case Report<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 4.2 (November 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a07123-7126<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.318<\/h3>\n<h3 style=\"text-align: justify;\">TIBIO-TALAR COALITION &#8211; A CASE REPORT AND REVIEW OF THE LITERATURE<\/h3>\n<p style=\"text-align: justify;\"><strong>Matthew JR Clark *<sup>1,2<\/sup>, Jimmy Murray <sup>1<\/sup>, Emerson Budhoo <sup>1<\/sup>, Peter Metherall <sup>2<\/sup>, Adrian Highland <sup>1<\/sup>, Mark Davies <sup>1<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> Department of Orthopaedics, Sheffield Teaching Hospitals, United Kingdom.<\/p>\n<p style=\"text-align: justify;\"><sup>2 <\/sup>The University of Sheffield, Sheffield, United Kingdom.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: <\/strong>Matthew Clark, Department of Trauma and Orthopaedics, Northern General Hospital, Sheffield Teaching Hospitals, Herries Road, Sheffield, S5 7AU, United Kingdom.\u00a0Mobile: +44 7894532725\u00a0 <strong>E-Mail:<\/strong> m.j.clark@sheffield.ac.uk<\/p>\n<p style=\"text-align: justify;\"><strong>Abstract<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background: <\/strong>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.<\/p>\n<p style=\"text-align: justify;\"><strong>Results<\/strong> : 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusions: <\/strong>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. <strong>Level of Clinical Evidence:<\/strong> 4<\/p>\n<p style=\"text-align: justify;\"><strong>Key words: <\/strong>Coalition, foot deformity, tarsal coalition, synostosis, surgery.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">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\u201394.<\/li>\n<li style=\"text-align: justify;\">Stormont DM, Peterson HA. The relative incidence of tarsal coalition. Clin Orthop Relat Res 1983;28\u201336.<\/li>\n<li style=\"text-align: justify;\">Conway JJ, Cowell HR. Tarsal coalition: clinical significance and roentgenographic demonstration. Radiology 1969;92:799\u2013811.<\/li>\n<li style=\"text-align: justify;\">Lawrence DA, Rolen MF, Haims AH, Zayour Z, Moukaddam HA. Tarsal Coalitions: Radiographic, CT, and MR Imaging Findings. HSS J 2014;10:153\u201366.<\/li>\n<li style=\"text-align: justify;\">Mosier KM, Asher M. Tarsal coalitions and peroneal spastic flat foot. A review. J Bone Joint Surg Am 1984;66:976\u201384.<\/li>\n<li style=\"text-align: justify;\">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\u20138.<\/li>\n<li style=\"text-align: justify;\">Harris RI. Rigid valgus foot due to talocalcaneal bridge. J Bone Joint Surg Am 1955;37-A:169\u201383.<\/li>\n<li style=\"text-align: justify;\">Leonard MA. The inheritance of tarsal coalition and its relationship to spastic flat foot. J Bone Joint Surg Br 1974;56B:520\u20136.<\/li>\n<li style=\"text-align: justify;\">Wray JB, Herndon CN. Hereditary Transmission of Congenital Coalition of the Calcaneus to the Navicular. JBJS 1963;45.<\/li>\n<li style=\"text-align: justify;\">Richer EJ, Pawley BK. Multiple unilateral tarsal coalitions in a nonsyndromic patient. Clin Imaging 2016;40:247\u201350.<\/li>\n<li style=\"text-align: justify;\">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.<\/li>\n<li style=\"text-align: justify;\">Downey MS. Tarsal coalitions. A surgical classification. J Am Podiatr Med Assoc 1991;81:187\u201397.<\/li>\n<li style=\"text-align: justify;\">Denning JR. Tarsal Coalition in Children. Pediatr Ann 2016;45:e139-43.<\/li>\n<li style=\"text-align: justify;\">Perlman MD, Wertheimer SJ. Tarsal coalitions. J Foot Surg 1986;25:58\u201367.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Matthew JR Clark, Jimmy Murray, Emerson Budhoo, Peter Metherall, Adrian Highland, Mark Davies. TIBIO-TALAR COALITION &#8211; A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Anat Res 2019;7(4.2):7123-7126.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.318\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Case Report Volume 7; Issue 4.2 (November 2019) Page No.:\u00a07123-7126 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.318 TIBIO-TALAR COALITION &#8211; 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<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-318\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2105"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2105"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2105\/revisions"}],"predecessor-version":[{"id":2112,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2105\/revisions\/2112"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}