A 10-year-old female presents to your office with complaints of recurrent ankle sprains for the past 4 months. On examination, she has decreased hindfoot range of motion and tenderness at the sinus tarsi and medial hindfoot. There is a concern for a tarsal coalition. Which of the following is true of the most common type of tarsal coalition?

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Isolated resection of a talocalcaneal tarsal coalition in an...

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A 10-year-old girl has had recurrent left ankle sprains for the past 9-months. She has tried immobilization in a cast for 5-weeks which has failed to provide relief. She is tender to palpation at the tarsal sinus. Radiographs and CT scan of the left foot show an isolated calcaneonavicular coalition and physical exam revealed a neutral hind foot. What is the next best step in management?

What is the most common associated pathology to look f...

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A 14-year-old female presents with 6 months of bilateral foot pain at the tarsal sinus. Clinical images of standing examination and heel rise are shown in Figures A and B, respectively. Radiographs of the left foot are shown in Figure C and D. Which of the following findings most likely is associated with this patient's condition?

An 11-year-old male presents with a chief complaint of chronic, atraumatic foot and ankle pain just distal to the fibula at the level of the sinus tarsi. Inspection with the patient weightbearing reveals no hindfoot deformity is present. He participates in baseball and soccer and complains of frequent ankle sprains regardless of the type of shoe he wears. He has also attempted orthotics and a period of short leg casting. Radiographs are seen in Figure A, with talocalcaneal angle measured within normal limits. CT scan is performed to assess the size and location of the coalition and shows a coalition involving <50% of the joint. What is the next best step in management?

A well-educated nurse is seeking a third opinion regarding her 4-year-old daughter with right ankle pain. She states her daughter has sprained her ankle 15 to 20 times over the past year. She insists her daughter has a diagnosis of tarsal coalition that requires immediate surgery. She is also due to see a neurologist for a second opinion regarding unwitnessed seizure activity, despite reassurance from the last subspecialist that the child is healthy. The examination of the right ankle was normal. Radiographs of the foot and ankle are seen in Figures A and B. What would be the next best step in treatment?

A 13-year-old girl presents to the office for the first time with a history of occasional ankle sprains while playing soccer. A history reveals activity-related pain localized to the sinus tarsi. Clinical exam demonstrates pes planus without instability. A radiograph is shown in figure A. What is the most appropriate next step in treatment?

A 11-year-old boy presents to your clinic on referral from h...

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A 15-year-old soccer player presents to you for a "second op...

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A 12-year-old boy presents with atraumatic right foot pain. ...

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Figure A is the radiograph of an 11-year old male who presen...

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