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Is tarsal coalition serious?

Is tarsal coalition serious?

A severe case of tarsal coalition can pose functional problems, make walking difficult, and may alter a child’s activity level. While treatment is recommended to improve function and relieve pain, the condition is not life-threatening or limb-threatening.

What causes a Talocalcaneal coalition?

Tarsal coalition is usually an inherited condition. It occurs when individual bones in the foot do not form properly when a fetus is developing. Less common causes for the condition are arthritis, infections and a prior injury to the area.

What is a tarsal coalition?

A tarsal coalition is an abnormal connection of two or more bones in the foot. The bones affected — called tarsal bones — are located toward the back of the foot and in the heel, and the connection of the bones can result in a severe, rigid flatfoot.

How is tarsal coalition diagnosed?

Computerized tomography scan (CT or CAT scan): Considered the gold standard for diagnosing tarsal coalitions, a CT scan is a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional horizontal and vertical images (called “slices”) of the body.

What causes tarsal coalition in adults?

Causes. Tarsal coalition is caused by a gene mutation. The bones of the feet are divided into three parts: the hindfoot (back of the foot), midfoot (middle of the foot), and forefoot (front of the foot). Tarsal coalition involves the bones in the midfoot and hindfoot.

How do you fix Talocalcaneal coalition?

Removal of the Tarsal Coalition The simplest surgical option. The surgery involves simply removing the abnormal tissue to allow motion of the back part of the foot. A soft tissue spacer, such as fat or tendon, is placed at removed coalition site to limit bone re-growth. This surgery preserves the rearfoot joints.

How long does it take to recover from tarsal coalition?

The recovery time may take 6-12 months. The success of the resection procedure cannot be guaranteed and is dependent upon a number of factors, including the person’s age, the extent of the connection between the tarsal bones, and whether there is degenerative arthritis in the nearby joints.

Can you get disability for tarsal coalition?

Tarsal coalitions may cause altered foot biomechanics leading to patient disability from osteoarthritis and other sequelae. While some types of coalition are common, isolated talonavicular coalitions are relatively rare.

Can tarsal coalition cause back pain?

Coalitions often cause a rigid flat foot, and that can be a tremendous source of arch pain and fatigue. A severe flat foot may push the heel bone into the ankle bone, and irritate tendons on the outside of the foot. Additionally, coalitions can produce arthritis in the back part of the foot, resulting in achy pains.

What are the causes of Tarsal coalition deformity?

Tarsal Coalition is a common congenital condition caused by failure of embryonic segmentation leading to abnormal coalition 2 or more of the tarsal bones. The condition is usually asymptomatic, but may present with a flatfoot deformity or recurrent ankle sprains.

Can a middle facet tarsal coalition cause pain?

Middle facet tarsal coalition is one of the commonly seen tarsal coalitions in clinical practice that can cause pain and associated flatfoot deformity. Excision of the coalition is one of the treatment options for symptomatic cases.

How are two bones connected in a tarsal coalition?

A tarsal coalition occurs when two bones grow into one another, connected by a bridge of bone, cartilage, or strong, fibrous tissue. These bridges are often referred to as “bars” and they can cover just a small amount of the joint space between the bones, or a large portion of the space.

When to see a doctor for tarsal coalition?

A teenager or young adult who presents with limited subtalar motion, pes planus, and shortening or persistent or intermittent spasm of the peroneal muscles should be imaged for tarsal coalition. The coalition may be fibrous, cartilaginous, or osseous. Osseous coalition shows continuous bony bridging between the involved bones.

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