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All-Arthroscopic Excision of Talocalcaneal Coalitions

March 01, 2019

Contributors: Brendan Emmons, BS; Dominic S Carreira, MD; Dominic S Carreira, MD

Although talocalcaneal coalitions are rare in the general population, symptomatic tarsal coalitions are more rare. Symptoms, if present, may be debilitating, and the emergence of pain often correlates with progressive ossification of the coalition in patients who have yet to reach maturity. This video presents an 18-year-old male tennis player who underwent an all-arthroscopic procedure for management of persistent posteromedial right ankle pain caused by a talocalcaneal coalition. Open procedures have long been used for coalition resection; however, arthroscopy also can be used. The patient presented in this video had extremely limited preoperative passive subtalar range of motion, with inversion and eversion of 5°. The video presents a systematic approach for the diagnosis and treatment of this high-level athlete, detailing the physical examination findings, preoperative planning, surgical approach, and rehabilitation protocol for all-arthroscopic excision of a posteromedial talocalcaneal coalition.

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