Abstract：
We aimed to investigate the bone and soft tissue changes accompanying tarsal coalition (TC) and aimed to evaluate their association with the location and type of coalition. Ankle magnetic resonance imagings of 65 patients with TC were included. The relationship between the location and type of coalition and bone marrow edema, subchondral cysts, sinus tarsi syndrome, tarsal tunnel syndrome, posterior impingement syndrome, accessory bone, tibiotalar effusion, talar osteochondritis dissecans, ganglion cysts, and calcaneal spur were evaluated. Twenty-nine patients without coalition were selected as the control group, and the distribution of these variables between the two groups was analyzed. There were 33 females and 32 males in the coalition group (mean age: 42.0 ± 15.63 years), and 22 females and seven males in the control group (mean age: 44.79 ± 12.33 years). Coalition was most common in the talocalcaneal joint (n = 33, 50.8%), and the most common coalition type was non-osseous (n = 57, 87.6%). We find no significant difference between the pathologies defined in terms of coalition location and type. Sinus tarsi syndrome, tarsal tunnel syndrome, subchondral cysts, and tibiotalar effusion were found to be more common in the coalition group (p = 0.028, p = 0.010, p = 0.023, and p = 0.006, respectively). The presence of coalition increased the probability of developing tarsal tunnel syndrome 9.91 times (95% CI: [1.25-78.59]; p = 0.029), and sinus tarsi syndrome 3.66 times (95% CI: [1.14-11.78]; p = 0.029). Tarsal coalition may predispose bone and soft tissue changes. In this study, sinus tarsi syndrome, tarsal tunnel syndrome, subchondral cysts and tibiotalar effusion were found to be more common in the coalition group.
摘要：
我们的目的是调查骨和软组织的变化伴随着tal骨联盟（TC），并旨在评估它们与联盟的位置和类型的关联。包括65例TC患者的踝关节磁共振成像。联合的位置和类型与骨髓水肿之间的关系，软骨下囊肿,tarsi窦综合征,睑管综合征,后撞击综合征,副骨,胫骨积液，距骨剥脱性骨软骨炎，神经节囊肿,和跟骨骨刺进行了评估。选择29名未合并的患者作为对照组，并分析这些变量在两组间的分布情况。联盟组中有33名女性和32名男性（平均年龄：42.0±15.63岁），对照组女性22例，男性7例（平均年龄：44.79±12.33岁）。合并在距骨关节中最常见（n=33，50.8％），最常见的联合类型是非骨性（n=57，87.6％）。我们发现在联盟位置和类型方面定义的病理之间没有显着差异。tarsi窦综合征,睑管综合征,软骨下囊肿,发现胫骨积液在联合组中更为常见（分别为p=0.028，p=0.010，p=0.023和p=0.006）。联盟的存在增加了发生骨隧道综合征的概率9.91倍（95％CI：[1.25-78.59];p=0.029），和tarsi窦综合征3.66倍（95％CI：[1.14-11.78]；p=0.029）。髌骨联合可能导致骨和软组织改变。在这项研究中,tarsi窦综合征,睑管综合征,软骨下囊肿和胫骨积液在联合组中更为常见。
