XXXX : review of the literature and case report of bilateral dual @entity8212 and @entity14948 .

@entity1 @entity8214 @entity82 @entity8212 @entity14948 @entity2473 @entity158
Inasmuch as @entity14948 do not occur frequently, a preadolescent or early adolescent @entity1 who has persistent complaints of @entity158 with peroneal or anterior tibial muscle @entity2473 warrants special evaluation. The @entity1 may complain of becoming easily tired or report the onset of @entity158 with increased activity. Clinical examination may reveal local tenderness over the area of the coalition, but this is not a consistent finding. Restricted inversion of the foot with @entity2473 of the peroneals, forefoot abduction or pronation should alert the examining physician that a @entity8214 may be present. Appropriate roentgenograms examining all of the possibly involved joints should be obtained. These include 45 degrees oblique views of the foot, which usually give a satisfactory view of the @entity8212 joint. Coalitions may occur in any of the facets of the talocalcaneal joint and therefore all facets must be evaluated. The anatomic location of the facets can be variable and multiple-angle axial views may be required. We recommend a 45 degrees axial view to visualize the posterior and middle facets, since they are normally parallel in the axial view. If @entity82 are present, the middle facet may be oblique. Tomography is necessary to visualize the anterior facet or to confirm a coalition either in the middle or in the posterior facets.
