by Michael Trepal, DPM
Vice President for Academic Affairs,
Dean and Professor in
Department of Surgery at the
New York College of Podiatric Medicine

A 10 year old boy presents to your office with significant unrelenting pain, which started shortly after a recent ankle sprain.  On examination, you note a rigid right heel valgus and abducted forefoot.  Pain is most pronounced over the sinus tarsi.  X-ray evaluation reveals significant talar beaking and Sub talar joint overlap seen in a pronated foot. 

It is assured that patients with tarsal coalition will find their way into your practice.  Although not a common entity, it never the less requires appropriate diagnosis and treatment. 

Dr. Michael Trepal explains the difference between synostosis, synchondrosis, and syndesmosis and why the CT scan is no longer considered the gold standard for evaluating this condition. 

Review the conservative options and then go with Dr. Trepal into the operating room and visualize the technique for resection of a CN and TC bar.

CLICK IMAGE BELOW TO VIEW LECTURE