Naviculocuneiform Coalition: Case Reports of Two Sibling Soccer Players.
Tarsal coalitions are an abnormal union between 2 tarsal bones. They occur most commonly between the calcaneus and talus or the calcaneus and navicular but can also arise from other joints in the foot. Isolated cases of coalitions between the medial cuneiform and navicular are extremely rare, and only a few cases have been reported. Treatment recommendations are, therefore, sparse, and no long-term follow-up data have been reported. We present the case of 2 sisters, each diagnosed with a symptomatic naviculocuneiform coalition. To our knowledge, this is the first reported case in 2 first-degree relatives. Both sisters were involved in sports and presented with pain during physical activities. After conservative treatment had failed, they were both treated successfully with surgical excision of the coalition and arthrodiastasis, followed by a progressive return to activities. At the last follow-up examination at 5 and 3 years postoperatively, they remained pain free and fully involved in college soccer, making excision of a naviculocuneiform coalition with arthrodiastasis a valid treatment in the young athletic population.
Fellowship Director, Department of Sports Medicine, Palo Alto Foundation Medical Group, Palo Alto, CA. Electronic address: heysax@aol.com.
Amol
A
Saxena
Physician, Gundersen Health System, LaCrosse, WI.
Magali
M
Fournier
D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008279:Magnetic Resonance Imaging / Q000379:methods; D064847:Multimodal Imaging / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D011182:Postoperative Care; D000068958:Return to Sport; D012494:Sampling Studies; D035781:Siblings; D012916:Soccer / Q000293:injuries*; D013580:Synostosis / Q000000981:diagnostic imaging / Q000601:surgery; D013628:Talus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
arthrodiastasis; athlete; cuneiform; first-degree relative; navicular; tarsal coalition