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Journal of the American Podiatric Medical Association, Vol 83, Issue 7 379-385, Copyright © 1993 by American Podiatric Medical Association
JOURNAL ARTICLE |
J Pontious, HJ Hillstrom, T Monahan and S Connelly
Department of Podiatric Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.
Talonavicular coalitions, a rarely reported fusion between the talus and navicular, are often an incidental radiographic finding that may be asymptomatic or associated with peroneal spasm. The authors present a review of literature and case report based on clinical evaluation and instrumented gait analysis. Specifically, a patient presenting with a bilateral talonavicular coalition was objectively evaluated with kinetic, kinematic, muscle dynamometry, and pedobarographic testing to understand the biomechanical limitations related to this pathology. An excessive passive component of ankle torque, a high first metatarsophangeal joint plantar pressure, and a diminished time in the midstance portion of stance phase were measured and compared to those of healthy individuals.
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