coalition of talus and calcaneum

[elouk]

About 12 months ago - I injured my right ankle, since then it has been painful and swollen after prolonged use. I have had an arthroscopy which has fixed some of the problem but with prolonged use i.e. long walks - symptoms return. They have told me I have a solid bony talocalcaneal coalition at the level of sustentaculum tali - and I need it operated on otherwise it will continue to cause me problems and deteriorate. Does anyone know of other options or can refer me to another surgeon for a second opinion.

[injuryupdate]

Mention where you live and tell us how old you are.

Surgery to resect coalitions is often very successful in teenagers, but it is probably a waste of time, money and effort in anyone much older, as degenerate changes will have set in.

It doesn't necessarily mean the end of a sporting career. Ex-Swans player Dale Lewis had a long career despite a chronic tarsal coalition, which he played with despite 75% of other players using social drugs to get through (which Dale didn't need himself).

If you do get it resected, use a foot and ankle subspecialist who has done a few before.

[elouk]

About 12 months ago - I injured my right ankle, since then it has been painful and swollen after prolonged use. I have had an arthroscopy which has fixed some of the problem but with prolonged use i.e. long walks - symptoms return. They have told me I have a solid bony talocalcaneal coalition at the level of sustentaculum tali - and I need it operated on otherwise it will continue to cause me problems and deteriorate. Does anyone know of other options or can refer me to another surgeon for a second opinion.
I'm 20 and live in Victoria.

[Lizladyemt]

Hi, I'm a 48 year old female, my occupation is school bus driver, Firefighter and EMT. So as you can see i'm very busy. In September, I fell from a porch while on an EMS call and twisted my back and broke my ankle. I just got a report and I wonder if you can yell me what it means.I have mimimal joint effusion, Ther is interval resolutionof the marrow edema involving the head and neck of the talus with no evidenceof a osteochondrallesion. There is a well corticated ossific abnormality seen adjacent to the inferior aspect of the fibula likely representing a small chronic avulsion injury Interval resolution of the bone bruise involving the talus and distal fibula with an avulsion fracture of the distal fibula.

Can you help me understand?

Liz Anderson, Calvert County Md

[injuryupdate]

From the report looks like it will take a few weeks to get better, but probably won't need surgery. Not much more than a standard bad ankle sprain on the report. However, see your doc who ordered it, particularly if you can't put weight through it.