Coalition of Bilateral First Cuneometatarsal Joints: A Case Report

Abstract

The most common types of tarsal coalition are talocalcaneal and calcaneonavicular coalition. This report presents a case of a patient with middle foot pain who was diagnosed as having first cuneometatarsal coalition.

Multiple Tarsometatarsal Coalitions: A Case Report

“…Tarsometatarsal coalitions have seldom been described in the orthopedic literature. The handful of reports published so far have described different variations of tarsometatarsal coalitions involving one of the cuneiforms [2][3][4], with the opposing metatarsal respectively.…”

“…A published report by Kobayashi et al [6] described an even rarer fifth metatarsal-cuboid coalition that needed surgical intervention after the failure of conservative treatment. Fujishiro et al [4] proposed that as in tarsal coalitions, patients with complete tarsometatarsal coalitions (radiological evidence of bony fusion) might be less symptomatic than those with partial coalitions (also known as non-osseous coalitions). This has also been discussed in a later case report by Stevens et al [5], who further suggested that non-osseous coalitions should be suspected in patients diagnosed with a midfoot sprain who remain symptomatic after adequate conservative treatment.…”

“…Tarsometatarsal coalitions are rare in clinical practice, and not many cases have been reported in the published literature [1][2][3][4][5]. The ones published have reported only isolated coalitions of a metatarsal with one of the cuneiform bones or with the cuboid [6].…”