Identifying & Treating Tarsal Coalitions in Children

[@that.weirdperson.1950]

I have a question, I had this surgery back in 2019, is it nornal for your feet to still hurt even after you had the surgery? Thanks for the educational video ! I really found it interesting

[@PediatricFootAnkle]

It's not expected to have residual pain after surgery. My first question in any workup would be what were the other findings on the MRI you received before surgery? That information might aid in setting proper expectations post- operatively. Thanks for watching our video. Please let me know if you have any further questions. - Dr. Jarman

[@GuitarSlammer008]

I had resection in both feet. My right one in 2009 (I was 18) where the doc put had adipose in between my joints to lubricate them. I considered it a success. Even became a city police officer for a bit and had aspirations of becoming a federal agent. My left foot I had done in 2017 after serving in the US army for about four years. This time the surgeon put joint spacers in between my joints and shaved down a bit of calcaneal beaking on the top of my foot. Last year, I opted to fuse both feet. My left one in March. Right in September. And then a revision of the left this March. #FrankenFeets I just started using a bone stimulator in hopes that the fusion takes.

[@Brittany.Anderson]

I had the condition and I surgery option on both sides. I had surgery on my my right side and then on my left.

[@PediatricFootAnkle]

Thank you for watching our video. We hope both your surgeries had great outcomes.

[@bigdude8351]

Hi Dr Jarman, thank you so much for your video. At what age would a tarsal coalition show on xray? Is it common for a child to feel pain associated with a tarsal coalition but have full motion up/down and side/side. And if a kid did have a tarsal coalition that caused pain, would delaying surgery cause arthritis in the join where the coalition is? I can't seem to find these answers anywhere.

[@PediatricFootAnkle]

X-rays can be helpful but an MRI or CT would be best to identify a coalition. They are usually visible on imaging around age 7-8. When I see them, depending on the type of coalition, determines when and how to treat. As a coalition gets stronger a child will lose mobility. The sooner the intervention the better. Thank you for watching the video and your questions. If you have any further questions, please feel free to contact our clinic directly. - Dr. Jarman pediatricfootankle.com/ pediatricfootankle.com/contact-directions/

[@NenengInAustralia43]

Hi sir DR JARMAN thanks for reply. Yes my son can stand flat foot sometimes tippy toe stand . But now his trying to walk flat foot . Is still problem with my son foot or his going be alright . I mean its normal for a tippy toe for 15 months old

[@PediatricFootAnkle]

Hello Anna, based on your observations I would say his current pattern of toe walking is normal and would not need intervention. Continue to watch and wait to see if it improves. I would recommend a formal evaluation if he is unable to stand flat or if toe walking becomes 24/7. Best wishes, Dr. Jarman

[@NBCNOW]

im a 19 year old with cartilaginous almost ossified coalitions in both feet in tarsal and calcanior regions. they said recovery would be upwards of 9+ months fully immobile. how come children would be out the same day in a boot?

[@PediatricFootAnkle]

There are several types of coalitions and each doctor has different protocols they follow to treat them surgically and post operatively. Very specifically calcaneonavicular coalition resections do great post operatively with just a walking boot for only 2-3 weeks. When coalitions are resected the motion is restored to the foot, it is sometimes best to try to move the joint earlier then later to avoid adhesions and scar tissue. I strongly recommend to always follow the advised care given by your surgeon as everyones surgery is different. I hope this helps! Dr. Jarman

[@samimerrett3235]

They tried using the boot/cast but it failed miserably. I had my surgeries at age 10 and then again at 14. I'm 21 now and have completely normal functioning in my ankles, I'm quite active on my feet and experience no pain.

[@dhanalakshmys6463]

Hi Dr. My daughter is 10 yrs old, she has calcaneonavicular coalition on both foot. But left foot is rigid n right foot is flexible, can we do the surgery for left rigid foot n try for orthotic for right foot..... Also will the titanium stent to be removed in future

[@limitless484]

Hi Dr., I had a question. I had a tarsal collision when I was 15 and had a resection surgery. My oldest child is an athlete and is being recruited for baseball and basketball. One of his feet resembles how my foot looks, the foot I had the tarsal coalition in. He hasn’t complained of pain, but he is getting around that age where I had the surgery. Is it ever recommended to be preventative minded when it comes to this condition? I’ve heard the earlier someone can get a resection the better off, they will be, and since he plays baseball And has a promising future, would it be wise to look into it now or just wait and see if pain develops? Thank you for your time doctor.

[@limitless484]

My biggest concern is that he does not get it. Looked at right now and potentially develops problems in college where a fusion would be necessary. I’ve heard that fusion surgery, severely limits agility in the foot.

[@PediatricFootAnkle]

Thanks for sharing your experience. As a provider who sees coalitions regularly, I would agree with your thought process. Having an accurate diagnosis is key to knowing whether intervention is appropriate at this time. Coalitions typically will manifest on an MRI after the age of 7 or 8. You may want to speak with your local provider about imaging for your son..

[@dhanalakshmys6463]

Hi Dr. My daughter is 10 yrs old, she has calcaneonavicular coalition on both foot. But left foot is rigid n right foot is flexible, can we do the surgery for left rigid foot n try for orthotic for right foot..... Also will the titanium stent to be removed in future

[@PediatricFootAnkle]

Thanks for your comment. I would make the recommendation to have the calcaneonavicular (CN) coalition removed on both feet. Unfortunately, the reality is our children recover from this surgery so quickly and tend not to have problems as compared to the adult population. All coalitions are problematic and the CN one is the easiest to solve, therefore a strong recommendation to remove it. I can only assume that there was some other surgery done with a titanium stent (Hyprocure?). This would be a case-by-case work up and I would need a lot more information to make actionable recommendations. I hope this helps. -Dr. Jarman DPM, FACFAS

[@dhanalakshmys6463]

Thanks for the reply Dr., Based on your recommendation, i have removed the coalition in left foot....

[@Muhammedsfgh]

​@@dhanalakshmys6463Merhabalar efendim. Ben bir Türk vatandaşıyım ve 20 yaşındayım. Benim her iki ayağımda da esnek düztabanlık var. Doktorum ise "Sende tarsal koalisyon olabilir." diye benden tomografi istedi. Size sorum şu olacaktı: Sizin kızınızın sağ ayağında esnek düztaban olmasına rağmen tarsal koalisyon olduğunu söylediniz Ben de ise her iki ayakta esnek düztabanlık var ve yürümekte aşırı zorlanıyorum, dışarı dahi çıkamıyorum ağrılardan.Ayak tabanımda, topuğumda ve parmak uçlarımda çok fazla ağrılar oluyor. Bacaklarımda ise uyuşma hissi var ve çok çabuk yoruluyorum. Acaba sizin kızınızda da bu tür şikayetler var mıydı? Ayrıca çoğu insan "Esnek düztaban olan kişilerde tarsal koalisyon görülmüyor dedi." bana. Sizce bu doğru mu?

[@demonkinggamer5785]

Give me advice

[@PediatricFootAnkle]

There is quite a bit of educational info on our website if you want to review it. Link noted below pediatricfootankle.com/