Abstract
Tarsal coalitions are an uncommon pathology, representing approximately a 1% occurrence
in the general population, and most commonly diagnosed in the younger population.
Coalitions between the cuboid and navicular are especially rare. In this case series,
all patients were young (15-35 years of age), active patients with fibrous coalitions
at the cuboid-navicular interface; 3 of the 4 patients related a past history of ankle
sprains on the affected side. After conservative treatment was exhausted and a diagnostic
injection was performed that eliminated the pain, surgical intervention was used that
consisted of coalition resection and interposition of an adipose graft harvested from
the lower leg. All patients were able to return to their previous level of activity
and remain pain-free at the surgical site. Our series of 4 cases of this coalition
suggests that, although rare, cuboid-navicular coalition should be included in the
differential diagnosis when patients present with persistent foot pain and suspicion
of tarsal coalition is high. We also demonstrate that surgical resection of this coalition
with an interpositional adipose graft provides excellent results.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 03, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
