Complete bony coalition of the talus and navicular: decades of discomfort.
Tarsal coalition is a congenital disturbance of hindfoot development. Talonavicular coalition is among the rarest forms of aberrant bony union of the tarsus. It frequently occurs bilaterally and in association with a number of skeletal deformities. Some patients are asymptomatic and the anomaly is discovered incidentally on plain radiographs. For others, a troublesome bony prominence will be the principle complaint and in a small proportion of patients marked foot and ankle pain with activity will prove debilitating. The authors describe the case of a 54-year-old male with bilateral foot pain spanning for nearly two decades. Symptom onset was insidious and at the time of presentation, he was limited to 10-15 min of mobilisation on flat ground.
Department of Trauma and Orthopaedics, Kettering General Hospital, Kettering, Northamptonshire, UK. davidjbryson@hotmail.com
David
D
Bryson
Chika Edward
CE
Uzoigwe
Shaishav B
SB
Bhagat
Dipen K
DK
Menon
D057210:Delayed Diagnosis; D005532:Foot Deformities, Congenital / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013628:Talus / Q000002:abnormalities