TARSAL COALITIONS IN CHILDREN WITH CEREBRAL PALSY: CLINICAL OBSERVATION AND TREATMENT STRATEGY

Cover Page
  • Authors: Kenis V.M.1, Sapogovsky A.V.1, Husainov R.K.2
  • Affiliations:
    1. FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
    2. State budget institution of higher education “North-Western State Medical University n. a. I. I. Mechnikov” under the Ministry of Public Health and Social Affairs of the Russian Federation
  • Issue: Vol 2, No 1 (2014)
  • Pages: 13-17
  • Section: Articles
  • URL: https://journals.eco-vector.com/turner/article/view/260
  • DOI: https://doi.org/10.17816/PTORS2113-17
  • Cite item

Abstract


Tarsal coalition is a congenital anomaly of the foot, characterized by later appearance of the clinical and radiological signs, which become obvious in adolescents. Tarsal coalitions in children with cerebral palsy can lead to diagnostic confusion, as well as to complicate natural course of foot deformity and surgical treatment. The paper presents first experience with the systematized data for tarsal coalitions in children with cerebral palsy. Among 157 children operated for foot deformities this anomaly was identified in 4 patients (incidence - 2,5 % in our series). Clinical and radiological descriptions, surgical management, including complications, are presented for these cases, which demonstrate significance of tarsal coalitions for diagnostics, surgical management and prognosis. Information and caution, regarding tarsal coalitions in children with cerebral palsy, who undergo surgical treatment for foot deformities, as well as advanced methods of diagnostics (magnetic resonance and computed tomography), are required in order to avoid preventable complications.

Vladimir Markovich Kenis

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: kenis@mail.ru
MD, PhD, head of the department of foot pathology, neuroorthopedics and systemic diseases

Andrei Viktorovich Sapogovsky

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: sapogovskiy@gmail.com
MD, orthopedic surgeon of the department of foot pathology, neuroorthopedics and systemic diseases

Ruslan Khalilovich Husainov

State budget institution of higher education “North-Western State Medical University n. a. I. I. Mechnikov” under the Ministry of Public Health and Social Affairs of the Russian Federation

Email: drhuslan@gmail.com
MD, PhD student of the chair of children’s traumatology and orthopedics

  1. Кенис В. М. Тарзальные коалиции у детей: опыт диагностики и лечения // Травматология и ортопедия России. 2011. № 2. С. 132-136.
  2. Кенис В. М., Иванов С. В., Степанова Ю. А. Патология позы и деформации стоп у детей с церебральным параличом // Травматология и ортопедия России. 2011. № 3. С. 40-44.
  3. Nalaboff K. M., Schweitzer M. E. MRI of tarsal coalition: frequency, distribution, and innovative signs // Bull NYU Hosp. Jt Dis. 2008; 66(1): 14-21.
  4. Wilde P. H., Torode I. P., Dickens D. R. [et al.]. Resection for symptomatic talocalcaneal coalition // Bone Joint Surg. Br. 1994; 76: 797.

Views

Abstract - 1222

PDF (Russian) - 435

Cited-By


PlumX

Comments on this article

View all comments

Copyright (c) 2014 Kenis V.M., Sapogovsky A.V., Husainov R.K.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies