Arthroscopic Resection of a Bilateral Calcaneonavicular Coalition in a Child

Nehme, Alexandre; Monsef, Jad Bou; Ghannam, Alaa G. Bou; Imad, Joseph P.; Moucharafieh, Ramzi; Wehbe, Joseph

doi:10.1053/j.jfas.2015.07.021

Cited by 13 publications

(1 citation statement)

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“…She has not experienced any foot or ankle pain and has remained active in her theater, dance, and physical Paradoxically, this patient's symptoms of foot and ankle pain diminished as the tarsal coalition developed and matured. This presentation seems to be contrary to reports of symptoms of foot pain presenting as the coalition mature and ossify and worsen as time goes on [6][7][8][9][10]. At age 16, approximately 7-years post diagnosis, that patient did not have any foot and ankle pain or restrictions on physical activity although x-ray radiographs of her feet displayed matured calcaneonavicular coalitions (Figure 3 and Figure 4).…”

Section: Discussionmentioning

confidence: 57%

Paradoxical Presentation of a Calcaneonavicular Tarsal Coalition

Sundeep¹,

A²,

A³

2022

J Orthop Surg Tech

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Case: Tarsal Coalition is a musculoskeletal deformity of the lower limb with a progression that is often asymptomatic until ossification of the calcaneoavicular coalition in the second decade. We report a novel case of a patient symptomatic before ossification of the coalition with resolution of symptoms coinciding with visual appreciation of the condition. Conclusion:This case demonstrates two unique components of the development of tarsal coalition that are not well described in the literature currently: The rapid development of bilateral calcaneonavicular coalitions and transition from symptomatic to asymptomatic as the coalitions matured. Check for updateswith activity. Prior to this, she did not have any past medical history. Her biological father had a history of tarsal coalition. The plan during this time was to consult orthopedics for additional examination. The initial orthopedic examination showed increased tightness in her hamstring muscle and gastrocnemius bilaterally. Examination of the feet revealed flat straight feet with full range of motion of her hindfoot and midfoot. Gait, coordination, and balance were normal. X-ray radiographs were taken at this visit and were unremarkable (Figure 1A and Figure 2A). The patient's family was given instructions to start a hamstring and gastrocnemius stretching regime for the patient and orders to use orthotics in her shoes.13 months later at age 10, the patient presents to the emergency department with an injury to her left great toe. X-ray radiographs taken during her ED visit did not show any structural damage to her great toe but did show anomalies in the tarsal bones that prompted imaging of the uninjured foot. Imaging was reviewed at her next orthopedic visit several months later and indicated bilateral calcaneonavicular coalition that were not present on radiographs during initial

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