Tarsal coalition: calacneonavicular

Case contributed by A.Prof Frank Gaillard

Presentation

Complaining of flat feet and right midfoot pain, worse on walking.

Patient Data

Age: Adolescent
Gender: Female

Calcaneonavicular coalition.

Case Discussion

Tarsal coalition occurs in approximately 1%. It typically presents in adolescence. 50% are bilateral (even if symptomatic on only one side). Frequently pes planus (flat foot) is a feature. Coalition may be: bony, fibrous (this case) or cartilaginous.

The commonest coalition is calcaneonavicular. This is best seen on an oblique projection.

In a bony coalition a ‘bony bar’ is observed. In a fibrous coalition irregularity and narrowing of the bony interfaces with sclerosis is identified (this case). If further imaging is required CT if the investigation of choice.

Case courtesy of: Dr Ian Bickle

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Case information

rID: 7608
Case created: 12th Nov 2009
Last edited: 6th Nov 2016
Tags: foot, feet
Inclusion in quiz mode: Included

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