Complete bony coalition of the talus and navicular: decades of discomfort.

BMJ Case Rep 2011 Jun 15;2011. Epub 2011 Jun 15.

Department of Trauma and Orthopaedics, Kettering General Hospital, Kettering, Northamptonshire, UK.

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.

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Source
http://casereports.bmj.com/cgi/doi/10.1136/bcr.03.2011.4031
Publisher Site
http://dx.doi.org/10.1136/bcr.03.2011.4031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3118851PMC
June 2011
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