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Current concepts in sinus tarsi syndrome: A scoping review
Affiliation:1. University of Cambridge School of Clinical Medicine, Box 111 Cambridge Biomedical Campus, Cambridge CB2 0SP, United Kingdom;2. Department of Trauma and Orthopaedic Surgery, University Hospitals Leicester, University Hospitals of Leicester Headquarters, Level 3, Balmoral Building, Leicester, United Kingdom;1. Royal National Orthopaedic Hospital NHS Trust, London, UK;2. Barts Health NHS Trust, London, UK;3. King’s College Hospital NHS Foundation Trust, London, UK;1. Department of Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123 Ta-Pei Road, Niao-Sung District, Kaohsiung City 833, Taiwan;2. Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA;1. Resident Physician, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA;2. Chief of Orthopaedic Oncology and Professor, Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA;3. Director of Musculoskeletal Ultrasound and Assistant Professor, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA;1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro173beon-gil, Bundang-gu, Seongnam-si, Kyungki 13620, Republic of Korea;2. Department of Mathematics, College of Natural Science, Ajou University, 206 Worldcup-ro, Yeongtong-gu, Suwon-si, Kyungki 16499, Republic of Korea;3. Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Republic of Korea
Abstract:IntroductionSinus tarsi syndrome is a relatively unknown condition presenting with pain and a feeling of instability. We aim to summarise evidence on the aetiology, diagnosis and treatment of the condition, whilst answering the question of whether the term should be used.MethodsScoping review following the methodological frameworks of Arksey and O’Malley, Levac and Peters. The review protocol is registered with the Open Science Framework: (https://osf.io/wj6ct/?view_only=59445d344ec34b6fab640d2fa7a83943).ResultsIn total, 605 studies were identified, 31 of which met selection criteria. Sinus tarsi syndrome is used to describe a range of distinct underlying pathologies. MRI and arthrography show non-specific abnormalities in patients and identifying underlying pathologies is challenging.DiscussionThe distinct range of underlying pathologies makes identifying specific imaging abnormalities and optimal treatments difficult. Further research in determining optimal treatments for specific pathologies and investigating the efficacy of conservative treatment must be conducted, before we can justify a more specific diagnosis.
Keywords:Sinus tarsi syndrome  Subtalar arthroscopy  Instability  Hindfoot
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