Cuboid-navicular tarsal coalition in an athlete

García-Mata, Serafín; Hidalgo-Ovejero, Ángel

doi:10.4321/s1137-66272011000200014

Cited by 8 publications

(10 citation statements)

References 10 publications

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“…In our case, the patient was asymptomatic, despite early degenerative changes of the tarsometatarsal joint, and the cubonavicular coalition was an incidental finding. The review of the literature shows three cases of asymptomatic cubonavicular coalitions, found out by radiological assessment following other injuries: violence to both feet in one case [ 21 ], lateral ankle sprain in another [ 22 ], and tibial anterior tendon rupture for the third [ 23 ]. A fourth case of incidental finding was described by Chu [ 24 ], after a pilon fracture, but it is unclear whether or not the patient was symptomatic from the coalition.…”

Section: Discussionmentioning

confidence: 99%

Complete Cubonavicular Coalition Associated with Midfoot Osteoarthritis

Kummer

Dugert

Jammal

2020

Case Reports in Orthopedics

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Introduction. Cubonavicular coalitions represent a relatively rare condition with less than forty cases described in the literature, the majority of which are fibrocartilaginous. To our knowledge, cubonavicular osseous coalition associated with osteoarthritis of the midfoot has never been described. Case Presentation. We present the case of a 26-year-old man with bilateral Achilles tendinosis, in whom radiological studies show an incidental finding of a complete osseous cubonavicular coalition, as well as a partial osseous cubo-third cuneiform coalition and a fibrous band between the first and second cuneiforms of the right foot, associated with arthritic changes of the tarsometatarsal joint. A nonosseous calcaneocubonavicular coalition was found on the left foot. These multiples coalitions were asymptomatic in this case. Discussion. Cubonavicular coalition, even asymptomatic, can cause midfoot osteoarthritis in young patients. We may therefore suspect that the immobility of the cubonavicular joint causes additional stress on the midfoot.

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Section: Discussionmentioning

confidence: 99%

Complete Cubonavicular Coalition Associated with Midfoot Osteoarthritis

Kummer

Dugert

Jammal

2020

Case Reports in Orthopedics

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“…They develop secondary to failure of differentiation and segmentation of the primitive mesenchyme in the first stages of development [ 9 ]. There can be a genetic component with autosomal dominance with variable penetrance, and patients can also have clinodactyly, hereditary symphalangism, and ball-and-socket ankle joint with a great toe shorter than the second toe [ 5 ]. Males are slightly more likely to exhibit tarsal coalition than females and patients classically develop progressive pain and stiffness in the foot with decreased hindfoot and midfoot motion on clinical exam [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Cuboid-navicular coalition remains an extremely rare form of tarsal coalition [ 12 , 13 ]. For reasons not well known to this day, much of the literature including reports from Garcia-Mata, Williamson and Torode, and Waugh emphasizes the notion that this particular form of tarsal coalition is essentially asymptomatic and rarely becomes symptomatic at specific times of activity and stress [ 5 – 7 ]. Our case demonstrates precisely the opposite scenario where cuboid-navicular coalition was associated with chronic unremitting pain at rest that eventually did become exacerbated to some degree with lacrosse playing.…”

Section: Discussionmentioning

confidence: 99%

“…Tarsal coalition presents in 1% of the population, with over 90% resulting from talocalcaneal or calcaneonavicular coalition [ 1 – 3 ]. Less than 1% of all coalitions have been reported to occur between the cuboid and the navicular, with less than 10 reported cases to date, none in the radiology literature [ 4 , 5 ]. Classically, patients are asymptomatic but become symptomatic in adolescence as the coalition becomes more ossified.…”

Section: Introductionmentioning

confidence: 99%

“…As much of the current literature points out, the two most common coalitions (talocalcaneal and calcaneonavicular) present as a painful foot in adolescence that can be exacerbated with walking, activity, or any exercise. However, current ideologies regarding cuboid-navicular coalitions elucidate the belief that this particular type of coalition is usually asymptomatic except at specific moments where activity or exercise can result in pain or peroneal spastic flatfoot [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

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The Rare Cuboid-Navicular Coalition Presenting as Chronic Foot Pain

Awan

Graham

2015

Case Reports in Radiology

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Tarsal coalitions are relatively rare diagnoses affecting adolescent patients that typically present with progressive foot pain. Cuboid-navicular coalition, a type of tarsal coalition, is extremely rare with less than 10 reported cases to date. Most prevailing theories reported have described this specific type of coalition as asymptomatic except at specific moments of stress and exercise. The purpose in presenting this case is to demonstrate that cuboid-navicular coalition can be associated with chronic unremitting pain, as in our patient. We present a case of cuboid-navicular fibrocartilaginous coalition in an adolescent patient presenting with chronic foot pain. Furthermore, from an imaging standpoint, radiographic findings are often subtle and radiologists cannot rely on indirect signs such as talar beak in clinching the diagnosis of cuboid-navicular coalition. Instead, abnormal articulation between the cuboid and navicular must be sought.

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