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Radiology, Vol 172, 635-639, Copyright © 1989 by Radiological Society of North America

ARTICLES

Subtalar joint coalition in children: new observations

MS Lee, HT Harcke, SJ Kumar and GS Bassett
Department of Medical Imaging, Alfred I. duPont Institute, Wilmington, DE 19899.

Eleven children with clinical and radiographic findings suggestive of nonosseous subtalar coalition were found to have fibrous bridges at the time of surgery. A second group of 14 children with similar clinical and radiographic findings is being conservatively treated at present. This series of children suggests that a common site of nonosseous subtalar coalition is found posterior to the sustentaculum tali. Diagnosis of nonosseous coalition requires careful examination with computed tomography, with attention to subtle changes in the hindfoot, particularly posterior to the sustentaculum tali.


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