Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis

Jeffrey E Martus; John E Femino; Michelle S Caird; Lawrence R Kuhns; Clifford L Craig; Frances A Farley

Back

Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis

Journal article

Open access

Peer reviewed

Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis

Jeffrey E Martus, John E Femino, Michelle S Caird, Lawrence R Kuhns, Clifford L Craig and Frances A Farley

The Iowa orthopaedic journal, Vol.28, pp.1-8

2008

PMCID: PMC2603342

PMID: 19223941

Appears in Diamond Open Access

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2603342/View

Published (Version of record) Open Access

Abstract

A retrospective review identified six patients with seven painful rigid flatfeet. In each case, pain was localized laterally to an accessory facet of the anterolateral talus. cross-sectional imaging demonstrated no evidence of tarsal coalition. In five of the six, preoperative magnetic resonance imaging (MRI) was obtained and in each case demonstrated focal abutting bone marrow edema consistent with impingement between the accessory facet and the anterior calcaneus.Seven feet in six patients underwent resection of the accessory facet with additional subtalar joint-sparing reconstructive procedures. At an average follow-up of 11 months, clinical results were graded as four good and two fair.An association between this accessory facet and pain in the rigid flatfoot has not been previously reported. Obesity was universal and may represent a risk factor for facet impingement. At early follow-up, facet resection with subtalar joint-sparing flatfoot reconstruction provided good results with symptomatic and functional improvement in the majority of patients.

Magnetic Resonance Imaging

Calcaneus - pathology

Subtalar Joint - surgery

Humans

Calcaneus - surgery

Male

Tomography, X-Ray Computed

Treatment Outcome

Flatfoot - pathology

Flatfoot - surgery

Subtalar Joint - pathology

Adolescent

Talus - pathology

Female

Retrospective Studies

Pain Measurement

Talus - surgery

Details

Title: Subtitle: Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis
Creators: Jeffrey E Martus - Department of Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, TN 37232-9565, USA. jeff.martus@vanderbilt.edu
John E Femino
Michelle S Caird
Lawrence R Kuhns
Clifford L Craig
Frances A Farley
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.28, pp.1-8
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 19223941
PMCID: PMC2603342
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2008
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040542202771

Metrics

42 Record Views