MCQs-peds foot 3
vertical talus – hindfoot equinovalgus, forefoot dorsiflexion and abduction/valgus.
– a 16 year old with symptomatic talonavicular coalition with degenerative changes should probably undergo triple arthrodesis.
– the prognosis for tarsal coalition excision is better if the bar is fibrous or cartilaginous rather than bone. The most common types are calcaneonavicular and talocalcaneal.
– initial treatment of a coalition is symptomatic control – bracing, NSAIDs, etc.; failing this, excise if no degenerative changes exist.
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