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Tarsal coalition is an abnormal connecting bridge of tissue between two normally-separate tarsal (foot) bones, and is considered a sort of birth defect. The term 'coalition' means a coming together of two or more entities to merge into one mass (in the case of bones, see synostosis ). [ 1 ]
In human anatomy, the subtalar joint, also known as the talocalcaneal joint, is a joint of the foot. It occurs at the meeting point of the talus and the calcaneus . The joint is classed structurally as a synovial joint , [ 1 ] and functionally as a plane joint .
The sinus tarsi located in the hindfoot, it is contained by the calcaneus, talus, talocalcaneonavicular joint, and the bottom of the subtalar joint. [1] There are five ligamentous structures present inside it: the intermediate, medial, and lateral roots of the inferior extensor retinaculum; the cervical ligament, and the interosseous talocalcaneal ligament.
The interosseous talocalcaneal ligament forms the chief bond of union between the talus and calcaneus.. It is a portion of the united capsules of the talocalcaneonavicular and the talocalcaneal joints, and consists of two partially united layers of fibers, one belonging to the former and the other to the latter joint.
The dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
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The Angle of Gissane, or "Critical Angle", is the angle formed by the downward and upward slopes of the calcaneal superior surface. On a lateral radiograph, an angle of Gissane > 130° suggests fracture of the posterior subtalar joint surface. Böhler's angle, or the "Tuber Angle", is another normal anatomic landmark seen in lateral radiographs.
Because the motion of the subtalar joint provides a significant contribution to positioning the foot, some authors will describe it as the lower ankle joint, and call the talocrural joint the upper ankle joint. [11] Dorsiflexion and Plantarflexion are the movements that take place in the ankle joint. When the foot is plantar flexed, the ankle ...