Fracture through Pre-Existing Tarsal Coalition: A Narrative Review

Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previous research has described the association o...

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Main Authors: Albert T. Anastasio, Emily M. Peairs, Caitlin Grant, Billy I. Kim, Anthony Duruewuru, Samuel B. Adams
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/1/72
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author Albert T. Anastasio
Emily M. Peairs
Caitlin Grant
Billy I. Kim
Anthony Duruewuru
Samuel B. Adams
author_facet Albert T. Anastasio
Emily M. Peairs
Caitlin Grant
Billy I. Kim
Anthony Duruewuru
Samuel B. Adams
author_sort Albert T. Anastasio
collection DOAJ
description Tarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previous research has described the association of tarsal coalitions with fractures of the lower extremity. Multiple reports of acute fracture in the presence of tarsal coalition have been presented, as have reports of stress fractures of the foot and ankle with concomitant coalition, insidious in onset and thought to be related to aberrancies in foot and ankle biomechanics. The purpose of this review is to discuss the biomechanics seen in tarsal coalitions and to describe reports of fracture occurring concomitantly with tarsal coalitions. We will discuss diagnostic options and treatment approaches in the setting of fracture with preexisting tarsal coalition.
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spelling doaj.art-af81190057a54539869ef64f0ea081dc2023-11-30T21:43:21ZengMDPI AGChildren2227-90672022-12-011017210.3390/children10010072Fracture through Pre-Existing Tarsal Coalition: A Narrative ReviewAlbert T. Anastasio0Emily M. Peairs1Caitlin Grant2Billy I. Kim3Anthony Duruewuru4Samuel B. Adams5Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27705, USADuke University School of Medicine, Durham, NC 27705, USADuke University School of Medicine, Durham, NC 27705, USADuke University School of Medicine, Durham, NC 27705, USABaylor College of Medicine, Houston, TX 77030, USADepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27705, USATarsal coalitions are abnormal fibrous or bony connections between the tarsal bones of the foot. While not always symptomatic, coalitions can cause pain, alterations in forefoot and hindfoot morphology, and alterations in foot and ankle biomechanics. Previous research has described the association of tarsal coalitions with fractures of the lower extremity. Multiple reports of acute fracture in the presence of tarsal coalition have been presented, as have reports of stress fractures of the foot and ankle with concomitant coalition, insidious in onset and thought to be related to aberrancies in foot and ankle biomechanics. The purpose of this review is to discuss the biomechanics seen in tarsal coalitions and to describe reports of fracture occurring concomitantly with tarsal coalitions. We will discuss diagnostic options and treatment approaches in the setting of fracture with preexisting tarsal coalition.https://www.mdpi.com/2227-9067/10/1/72tarsal coalitioncalcaneonavicular coalitionstalocalcaneal coalitionanklefootbiomechanics
spellingShingle Albert T. Anastasio
Emily M. Peairs
Caitlin Grant
Billy I. Kim
Anthony Duruewuru
Samuel B. Adams
Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
Children
tarsal coalition
calcaneonavicular coalitions
talocalcaneal coalition
ankle
foot
biomechanics
title Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
title_full Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
title_fullStr Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
title_full_unstemmed Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
title_short Fracture through Pre-Existing Tarsal Coalition: A Narrative Review
title_sort fracture through pre existing tarsal coalition a narrative review
topic tarsal coalition
calcaneonavicular coalitions
talocalcaneal coalition
ankle
foot
biomechanics
url https://www.mdpi.com/2227-9067/10/1/72
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AT emilympeairs fracturethroughpreexistingtarsalcoalitionanarrativereview
AT caitlingrant fracturethroughpreexistingtarsalcoalitionanarrativereview
AT billyikim fracturethroughpreexistingtarsalcoalitionanarrativereview
AT anthonyduruewuru fracturethroughpreexistingtarsalcoalitionanarrativereview
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