Faculty of Medicine, Department of Radiology, Izmir Democracy University, Izmir, Turkey.
Department of Radiology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
Clin Anat. 2023 Apr;36(3):336-343. doi: 10.1002/ca.23866. Epub 2022 Apr 9.
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.
我们旨在研究伴随跗骨联合（TC）的骨骼和软组织变化，并评估其与联合的位置和类型的关系。共纳入 65 例 TC 患者的踝关节磁共振成像。评估联合的位置和类型与骨髓水肿、距骨下囊肿、跗骨窦综合征、跗管综合征、后撞击综合征、副骨、距下关节积液、距骨骨软骨剥脱、腱鞘囊肿和跟骨骨刺之间的关系。选择 29 例无联合的患者作为对照组，分析两组之间这些变量的分布情况。联合组中女性 33 例，男性 32 例（平均年龄：42.0±15.63 岁），对照组中女性 22 例，男性 7 例（平均年龄：44.79±12.33 岁）。TC 最常见于跟距关节（n=33，占 50.8%），最常见的联合类型为非骨（n=57，占 87.6%）。我们发现联合的位置和类型与定义的病理之间没有显著差异。跗骨窦综合征、跗管综合征、距骨下囊肿和距下关节积液在联合组中更为常见（p=0.028、p=0.010、p=0.023 和 p=0.006）。联合的存在使跗管综合征的发病概率增加了 9.91 倍（95%CI：[1.25-78.59]；p=0.029），跗骨窦综合征增加了 3.66 倍（95%CI：[1.14-11.78]；p=0.029）。跗骨联合可能使骨骼和软组织发生变化。在这项研究中，我们发现跗骨窦综合征、跗管综合征、距骨下囊肿和距下关节积液在联合组中更为常见。
