✅ Ankle MRI

[Coalition 28] The Hidden Ossicle: Os Sustentaculum in Talocalcaneal Coalition

MSK MRI 2025. 9. 27. 21:27

https://youtube.com/shorts/RXiiFGkvFOU

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A distinctive extra-articular subtype of TCC where an os sustentaculum bridges the talus and calcaneus. Unlike an incidental accessory ossicle, this variant functions as part of the coalition itself.

Radiology Insights

  • Prevalence: ~24% of all TCCs (more common than once believed).

  • Imaging:

  • Clinical Significance:

⚠️ Pearl: Smooth cortical margins suggest a normal accessory facet, but osseous deformity + marrow edema = true coalition.


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