CLINICAL CHARACTERIZATION OF PATIENTS WITH TARSAL COALITIONS.
CARACTERIZACIÓN CLÍNICA DE PACIENTES CON COALICIONES TARSIANAS.
Calcaneonavicular coalition
Coalición calcaneonavicular
Coalición talocalcánea
Coalición tarsiana
Epidemiology
Epidemiología
Talocalcaneal coalition
Tarsal coalition
Journal
Revista espanola de cirugia ortopedica y traumatologia
ISSN: 1988-8856
Titre abrégé: Rev Esp Cir Ortop Traumatol
Pays: Spain
ID NLM: 101477399
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
03
07
2024
revised:
11
08
2024
accepted:
24
09
2024
medline:
30
9
2024
pubmed:
30
9
2024
entrez:
29
9
2024
Statut:
aheadofprint
Résumé
Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions. Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed. Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%). In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, p = 0.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.
Sections du résumé
BACKGROUND
BACKGROUND
Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.
MATERIALS AND METHODS
METHODS
Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.
RESULTS
RESULTS
Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).
DISCUSSION
CONCLUSIONS
In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, p = 0.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.
Identifiants
pubmed: 39343135
pii: S1888-4415(24)00153-X
doi: 10.1016/j.recot.2024.09.007
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024. Publicado por Elsevier España, S.L.U.