Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right foot pain, exacerbated by physical activity. History of progressive loss of hindfoot motion and rigid flatfoot deformity. No history of acute trauma. Symptoms consistent with symptomatic right talocalcaneal coalition.
Clinical Examination Findings
Right foot examination reveals a rigid flatfoot deformity with absence of subtalar motion. Tenderness noted over the sinus tarsi. Hindfoot valgus alignment present. Gait analysis demonstrates an antalgic, stiff-footed gait pattern. Neurological and vascular status intact.
Treatment Protocol
Initial management includes activity modification, custom orthotic inserts for arch support, and non-steroidal anti-inflammatory drugs (NSAIDs). If conservative measures fail, surgical consultation for coalition resection or arthrodesis will be considered based on the extent of the fusion and degenerative changes.