Vincent K A
Shriners Hospital for Children, Portland, Oregon and Department of Orthopedics, Oregon Health Sciences University, Portland, OR 97201-3905, USA.
J Am Acad Orthop Surg. 1998 Sep-Oct;6(5):274-81. doi: 10.5435/00124635-199809000-00002.
The prevalence of tarsal coalition is probably 1% or less. The two sites most commonly affected are the calcaneonavicular joint and the middle facet of the talocalcaneal joint. Diagnosis should be suspected in the preteen or teenage patient with insidious or sudden onset of pain in the midfoot to hindfoot associated with a lack of motion in the subtalar joint. Initial treatment with immobilization or an orthosis may relieve symptoms, but most patients will have persistent symptoms that warrant surgical correction. Long-term results indicate that excision of the coalition is moderately successful in relieving symptoms in the calcaneonavicular bar. Long-term success with excision of subtalar bars is less clear, although early relief of symptoms is usually possible.
跗骨联合的患病率可能为1%或更低。最常受累的两个部位是跟舟关节和距下关节的中间小关节。对于青春期前或青少年患者，若中足至后足隐匿性或突然出现疼痛且距下关节活动受限，应怀疑此病。初始采用固定或矫形器治疗可能会缓解症状，但大多数患者会有持续症状，需要手术矫正。长期结果表明，切除联合在缓解跟舟骨桥症状方面有一定成功率。虽然距下骨桥切除早期通常能缓解症状，但长期成功率尚不清楚。
