PDF(Pubmed)
Abstract：
Tarsal coalitions have only very infrequently been observed in the context of cavus foot abnormalities. Recognizing this diagnosis could be crucial to effective cavus repair. We report tarsal coalitions observed in cavus deformity here. Between 2022 and 2023, the records of every patient treated by one of the authors for a varus deformity who was later determined to have either a unilateral or bilateral tarsal coalition were examined. Two patients with cavus deformities who were treated by one of the authors have either a unilateral or bilateral tarsal coalition. Three foot (medial cuneiform-navicular n = 1 and calcaneonavicular n = 2) with tarsal coalition were examined. All of these cases occurred in patients with idiopathic cavus deformity. Computed tomography scans were used to make a firm diagnosis for each patient. We advise surgeons to keep an awareness for this potential comorbid issue in all cavus foot abnormalities and to take advanced imaging into consideration. In these uncommon cases, the medial cuneiform-navicular and calcaneonavicular joints formed an osseous coalition with pes cavus deformity, which successfully resolved with conservative and surgical treatment, respectively. Level of Clinical Evidence: IV.
摘要：
在腔脚异常的情况下，很少观察到tel骨联盟。认识到这种诊断对于有效的腔静脉修复至关重要。我们在此报告在洞穴畸形中观察到的tal骨联盟。在2022年至2023年之间，检查了每位由其中一位作者治疗的内翻畸形患者的记录，这些患者后来被确定为单侧或双侧骨联合。由其中一位作者治疗的两名腔畸形患者具有单侧或双侧tal骨联盟。检查了三只脚（楔形文字-舟状n=1和跟骨舟状n=2）与tar骨联盟。所有这些病例均发生在特发性下腔静脉畸形患者中。使用计算机断层扫描对每位患者进行可靠的诊断。我们建议外科医生在所有静脉足部异常中保持对这一潜在合并症的认识，并考虑先进的成像。在这些罕见的情况下，楔形骨内侧-舟骨和跟骨关节与pes腔畸形形成骨联盟，通过保守和手术治疗成功解决，分别。临床证据水平：IV。
