Skip to main content
SpringerLink
Log in

Correlation between the accessory anterolateral talar facet, bone marrow edema, and tarsal coalitions

  • Scientific Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Objective

The purposes of this study was to determine the prevalence of the accessory anterolateral talar facet (AALTF); to evaluate the relationship between AALTF, focal abutting bone marrow edema (FABME), and sinus tarsi edema; and to study the prevalence of tarsal coalitions in patients with the AALTF utilizing ankle MR images.

Materials and methods

5-T ankle MR images were reviewed for the presence of AALTF, FABME, sinus tarsi edema, tarsal coalition, and location and type of coalition (cartilaginous, fibrous, and osseous). Multivariate analysis was performed to examine the correlation between AALTF and the other variables.

Results

Three hundred ninety-one consecutive patients were included (age range 5–86 years; mean age 45 years). An AALTF was present in 3.6% (14/391) of patients. The AALTF prevalence was 2% in women and 6.6% in men. There was a significantly association between AALTF and FABME (9/14, p < 0.05), sinus tarsi edema (13/14, p < 0.05), and tarsal coalition (4/14, p < 0.05).

Conclusion

AALTF is relatively often detected on MRI of the ankle and significantly associated with BME, sinus tarsi edema, and subtalar coalition. Patients with a tarsal coalition should be evaluated for the concurrent presence of an AALTF.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Thomas MJ, Peat G, Rathod T, Marshall M, Moore A, Menz HB, et al. The epidemiology of symptomatic midfoot osteoarthritis in community-dwelling older adults: cross-sectional findings from the Clinical Assessment Study of the Foot. Arthritis Res Ther. 2015;17:178.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Riskowski JL, Hagedorn TJ, Dufour AB, Hannan MT. Associations of region-specific foot pain and foot biomechanics: The Framingham Foot Study. J Gerontol A Biol Sci Med Sci. 2015;70(10):1281–8.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Rühli FJ, Solomon LB, Henneberg M. High prevalence of tarsal coalitions and tarsal joint variants in a recent cadaver sample and its possible significance. Clin Anat N Y N. 2003;16(5):411–5.

    Article  Google Scholar 

  4. Sewell RB. A Study of the Astragalus. J Anat Physiol. 1904;38(Pt 4):423–34.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Niki H, Aoki H, Hirano T, Akiyama Y, Fujiya H. Peroneal spastic flatfoot in adolescents with accessory talar facet impingement: a preliminary report. J Pediatr Orthop Part B. 2015;24(4):354–61.

    Article  Google Scholar 

  6. Aydıngöz Ü, Melih Topcuoğlu O, Görmez A, Cankurtaran T, Dilara Topcuoğlu E, Bilge EF. Accessory anterolateral talar facet in populations with and without symptoms: prevalence and relevant associated ankle MRI findings. AJR Am J Roentgenol. 2016;207(4):846–51.

    Article  PubMed  Google Scholar 

  7. Cowell HR, Elener V. Rigid painful flatfoot secondary to tarsal coalition. Clin Orthop. 1983;177:54–60.

    Google Scholar 

  8. Kumar SJ, Guille JT, Lee MS, Couto JC. Osseous and non-osseous coalition of the middle facet of the talocalcaneal joint. J Bone Joint Surg Am. 1992;74(4):529–35.

    Article  CAS  PubMed  Google Scholar 

  9. Stormont DM, Peterson HA. The relative incidence of tarsal coalition. Clin Orthop. 1983;181:28–36.

    Google Scholar 

  10. Sarrafian S. Sarrafian’s anatomy of the foot and ankle: descriptive, topographic, functional. Philadelphia: Lippincott, William and Wilkins; 1993.

    Google Scholar 

  11. Torres L, Dunlop DD, Peterfy C, Guermazi A, Prasad P, Hayes KW, et al. The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis. Osteoarthr Cartil. 2006;14(10):1033–40.

    Article  CAS  Google Scholar 

  12. Felson DT, Chaisson CE, Hill CL, Totterman SM, Gale ME, Skinner KM, et al. The association of bone marrow lesions with pain in knee osteoarthritis. Ann Intern Med. 2001;134(7):541–9.

    Article  CAS  PubMed  Google Scholar 

  13. Malik et al. - 1999 - MR imaging of the type II lunate bone frequency, .pdf [Internet]. [cited 2019 Oct 15]. Available from: https://www.ajronline.org/doi/pdf/10.2214/ajr.173.2.10430130

  14. LiMarzi GM, Khan O, Shah Y, Yablon CM. Imaging manifestations of ankle impingement syndromes. Radiol Clin N Am. 2018;56(6):893–916.

    Article  PubMed  Google Scholar 

  15. Sofka CM. Posterior ankle impingement: clarification and confirmation of the pathoanatomy. HSS J. 2010;6(1):99–101.

    Article  PubMed  Google Scholar 

  16. Martus JE, Femino JE, Caird MS, Kuhns LR, Craig CL, Farley FA. Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis. Iowa Orthop J. 2008;28:1–8.

    PubMed  PubMed Central  Google Scholar 

  17. Niki H, Hirano T, Akiyama Y, Beppu M. Accessory talar facet impingement in pathologic conditions of the peritalar region in adults. Foot Ankle Int. 2014;35(10):1006–14.

    Article  PubMed  Google Scholar 

  18. Lektrakul N, Chung CB, Lai Ym null, Theodorou DJ, Yu J, Haghighi P, et al. Tarsal sinus: arthrographic, MR imaging, MR arthrographic, and pathologic findings in cadavers and retrospective study data in patients with sinus tarsi syndrome. Radiology. 2001;219(3):802–10.

    Article  CAS  PubMed  Google Scholar 

  19. Klein MA, Spreitzer AM. MR imaging of the tarsal sinus and canal: normal anatomy, pathologic findings, and features of the sinus tarsi syndrome. Radiology. 1993;186(1):233–40.

    Article  CAS  PubMed  Google Scholar 

  20. Anderson MW, Kaplan PA, Dussault RG, Hurwitz S. Association of posterior tibial tendon abnormalities with abnormal signal intensity in the sinus tarsi on MR imaging. Skelet Radiol. 2000;29(9):514–9.

    Article  CAS  Google Scholar 

  21. Stormont DM, Peterson HA. The relative incidence of tarsal coalition. Clin Orthop. 1983;181:28–36.

    Google Scholar 

  22. Harris RI, Beath T. Etiology of peroneal spastic flat foot. J Bone Joint Surg (Br). 1948;30B(4):624–34.

    Article  CAS  Google Scholar 

  23. Lemley F, Berlet G, Hill K, Philbin T, Isaac B, Lee T. Current concepts review: tarsal coalition. Foot Ankle Int. 2006;27(12):1163–9.

    Article  PubMed  Google Scholar 

  24. Nalaboff KM, Schweitzer ME. MRI of tarsal coalition: frequency, distribution, and innovative signs. Bull NYU Hosp Jt Dis. 2008;66(1):14–21.

    PubMed  Google Scholar 

  25. Solomon LB, Rühli FJ, Taylor J, Ferris L, Pope R, Henneberg M. A dissection and computer tomograph study of tarsal coalitions in 100 cadaver feet. J Orthop Res Off Publ Orthop Res Soc. 2003;21(2):352–8.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Scott Calcaterra for the assistance with the medical illustration.

Author information

Authors and Affiliations

  1. Department of Radiology; Division of Musculoskeletal Imaging and Intervention, Virginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23298, USA

    Josephina A. Vossen, Curtis W. Hayes, Peter J Haar & Kevin B Hoover

  2. Department of Radiology, Boston University School of Medicine, 820 Harrison Avenue, Boston, MA, 02118, USA

    Mashya Abbassi

  3. Department of Statistical Sciences and Operations Research, Virginia Commonwealth University, 1015 Floyd Avenue, Richmond, VA, 23284, USA

    Yanjun Qian

Authors
  1. Josephina A. Vossen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mashya Abbassi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yanjun Qian
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Curtis W. Hayes
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Peter J Haar
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kevin B Hoover
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Josephina A. Vossen.

Ethics declarations

Conflict of interest

The authors declare that they have conflict of interest.

IRB statement

This study received institutional review board approval and complied with HIPAA guidelines.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vossen, J.A., Abbassi, M., Qian, Y. et al. Correlation between the accessory anterolateral talar facet, bone marrow edema, and tarsal coalitions. Skeletal Radiol 49, 699–705 (2020). https://doi.org/10.1007/s00256-019-03335-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-019-03335-5

Keywords

Search

Navigation