Kernbach Klaus J
Department of Podiatry, Kaiser Foundation Hospital, Vallejo, CA 94589, USA.
Clin Podiatr Med Surg. 2010 Jan;27(1):105-17. doi: 10.1016/j.cpm.2009.08.006.
Tarsal coalition is a congenital condition characterized by the aberrant union (osseous or fibrous) between 2 bones in the rearfoot, most commonly talocalcaneal coalition, calcaneonavicular coalition, and talonavicular coalition, that results in a restriction or absence of motion. The association between tarsal coalition and a variety of coexisting conditions has been reported over the past 60 years and continues to be better understood. These coexisting conditions (the stigmata of tarsal coalition) have been believed to be secondary effects of the coalition and/or fixed rearfoot position. Advanced imaging has provided significant insights into the concomitant pathology and understanding of tarsal coalition that the symptoms associated with tarsal coalition can be present for a myriad of different reasons. One should consider all the stigmata of tarsal coalition when considering a surgical reconstruction.
跗骨联合是一种先天性疾病，其特征是后足两块骨头之间出现异常联合（骨性或纤维性），最常见的是距跟联合、跟舟联合和距舟联合，这会导致活动受限或活动缺失。在过去60年里，跗骨联合与多种共存病症之间的关联已有报道，并且人们对其的理解也在不断加深。这些共存病症（跗骨联合的体征）一直被认为是联合和/或固定后足位置的继发效应。先进的影像学为伴随的病理学以及跗骨联合的理解提供了重要见解，即与跗骨联合相关的症状可能由于无数不同原因而出现。在考虑手术重建时，应考虑跗骨联合的所有体征。
