Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(02): 342-346
DOI: 10.1055/s-0043-1776064
Case Report

Bilateral Cubonavicular and Synchronous Talocalcaneal Tarsal Coalition with Stress Response—Case Report and Review of Literature

Mohsin Hussein 
1   Department of Musculoskeletal Radiology, University Hospitals of Leicester, Leicester, United Kingdom
,
Stuart Metcalfe
2   Spire Parkway Hospital, Solihull, United Kingdom
,
Karthikeyan P. Iyengar 
3   Southport and Ormskirk Hospital, Mersey and West Lancashire Teaching NHS Trust, Southport, United Kingdom
,
Rajesh Botchu
2   Spire Parkway Hospital, Solihull, United Kingdom
4   Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, United Kingdom
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Tarsal coalition occurs in 1% of the population and represents a congenital failure of segmentation in two or more tarsal bones. It most commonly occurs at the talocalcaneal and calcaneonavicular joint. Although commonly asymptomatic, it may present with pain, rigidity, and pes planus. Cubonavicular, multiple synchronous, and bilateral coalitions are rare but an awareness is required to ensure accurate diagnosis and management. In this article, we presented the first reported case (to the best of our knowledge) of bilateral cubonavicular coalition with synchronous talocalcaneal coalition and stress response within the intermediate cuneiform.

Keywords

coalition - tarsal - synchronous - stress response


Publication History

Article published online:
27 October 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Murphy JS, Mubarak SJ. Talocalcaneal coalitions. Foot Ankle Clin 2015; 20 (04) 681-691
    CrossrefPubMedGoogle Scholar
  • 2 Perlman MD, Wertheimer SJ. Tarsal coalitions. J Foot Surg 1986; 25 (01) 58-67
    PubMedGoogle Scholar
  • 3 Stormont DM, Peterson HA. The relative incidence of tarsal coalition. Clin Orthop Relat Res 1983; (181) 28-36
    PubMedGoogle Scholar
  • 4 Harris RI, Beath T. Etiology of peroneal spastic flat foot. J Bone Joint Surg Br 1948; 30B (04) 624-634
    CrossrefPubMedGoogle Scholar
  • 5 Anastasio AT, Peairs EM, Grant C, Kim BI, Duruewuru A, Adams SB. Fracture through pre-existing tarsal coalition: a narrative review. Children (Basel) 2022; 10 (01) 72
    PubMedGoogle Scholar
  • 6 Jain VK, Iyengar KP, Botchu R. Bone stress injuries in the presence of tarsal coalition as a cause of hindfoot pain in adolescents: case series of 6 patients with literature review. Skeletal Radiol 2022; 51 (05) 991-996
    CrossrefPubMedGoogle Scholar
  • 7 Nalaboff KM, Schweitzer ME. MRI of tarsal coalition: frequency, distribution, and innovative signs. Bull NYU Hosp Jt Dis 2008; 66 (01) 14-21
    PubMedGoogle Scholar
  • 8 Rühli FJ, Solomon LB, Henneberg M. High prevalence of tarsal coalitions and tarsal joint variants in a recent cadaver sample and its possible significance. Clin Anat 2003; 16 (05) 411-415
    CrossrefPubMedGoogle Scholar
  • 9 Rozansky A, Varley E, Moor M, Wenger DR, Mubarak SJ. A radiologic classification of talocalcaneal coalitions based on 3D reconstruction. J Child Orthop 2010; 4 (02) 129-135
    CrossrefPubMedGoogle Scholar
  • 10 Lateur LM, Van Hoe LR, Van Ghillewe KV, Gryspeerdt SS, Baert AL, Dereymaeker GE. Subtalar coalition: diagnosis with the C sign on lateral radiographs of the ankle. Radiology 1994; 193 (03) 847-851
    CrossrefPubMedGoogle Scholar
  • 11 Leonard MA. The inheritance of tarsal coalition and its relationship to spastic flat foot. J Bone Joint Surg Br 1974; 56B (03) 520-526
    CrossrefPubMedGoogle Scholar
  • 12 Kummer A, Dugert E, Jammal M. Complete cubonavicular coalition associated with midfoot osteoarthritis. Case Rep Orthop 2020; 2020: 8850768
    PubMedGoogle Scholar
  • 13 Chang A, Lockward CA, Ferrari MB, Clanton TO, Ho CP. Cuboid navicular tarsal coalition: Presentation and evaluation with emphasis on magnetic resonance imaging appearance. The Foot Ankle Online J 2018; 11 (01) 6 DOI: 10.3827/faoj.2018.1101.0006.
    CrossrefGoogle Scholar
  • 14 Kayce JA, Jafari MA. Bilateral navicular-cuboid coalition, a rare case report. Foot & Ankle Surgery: Techniques, Reports & Case Reports And Series 2022; 2 (01) 100130 DOI: 10.1155/2015/625285.
    CrossrefPubMedGoogle Scholar
  • 15 Prado MP, Mendes AA, Olivi R, Amodio DT. Cuboid-navicular tarsal coalition. Rev Bras Ortop 2015; 45 (05) 497-499
    CrossrefPubMedGoogle Scholar
  • 16 Berger-Groch J, Rueger JM, Spiro AS. Rare combination of a cuboid-navicular tarsal coalition with a closed tibialis anterior tendon rupture: a case report and review of the literature. J Orthop Case Rep 2018; 8 (05) 3-6
    PubMedGoogle Scholar
  • 17 Waugh W. Partial cubo-navicular coalition as a cause of peroneal spastic flat foot. J Bone Joint Surg Br 1957; 39-B (03) 520-523
    CrossrefPubMedGoogle Scholar
  • 18 Del Sel JM, Grand NE. Cubo-navicular synostosis; a rare tarsal anomaly. J Bone Joint Surg Br 1959; 41-B (01) 149
    CrossrefPubMedGoogle Scholar
  • 19 Cavallaro DC, Hadden HR. An unusual case of tarsal coalition: a cuboid navicular synostosis. J Am Podiatry Assoc 1978; 68 (02) 71-75
    CrossrefPubMedGoogle Scholar
  • 20 Williamson DM, Torode IP. Cubonavicular coalition: an unusual cause of peroneal spastic flat foot. Aust N Z J Surg 1992; 62 (06) 506-507
    CrossrefPubMedGoogle Scholar
  • 21 Piqueres X, de Zabala S, Torrens C, Marin M. Cubonavicular coalition: a case report and literature review. Clin Orthop Relat Res 2002; (396) 112-114
    CrossrefPubMedGoogle Scholar
  • 22 Palladino SJ, Schiller L, Johnson JD. Cubonavicular coalition. J Am Podiatr Med Assoc 1991; 81 (05) 262-266
    CrossrefPubMedGoogle Scholar
  • 23 Sarage AL, Gambardella GV, Fullem B, Saxena A, Caminear DS. Cuboid-navicular tarsal coalition: report of a small case series with description of a surgical approach for resection. J Foot Ankle Surg 2012; 51 (06) 783-786
    CrossrefPubMedGoogle Scholar
  • 24 Merchant R, Bhatt N, Merchant M. Surgical considerations for massive tarsal coalitions in multiple synostosis syndrome: a case report. J Foot Ankle Surg 2015; 54 (06) 1162-1165
    CrossrefPubMedGoogle Scholar
  • 25 Richer EJ, Pawley BK. Multiple unilateral tarsal coalitions in a nonsyndromic patient. Clin Imaging 2016; 40 (02) 247-250
    CrossrefPubMedGoogle Scholar
  • 26 Kembhavi RS, James B. A rare combination of ipsilateral partial talocalcaneal and talonavicular coalition. J Clin Diagn Res 2015; 9 (12) RD07-RD08
    PubMedGoogle Scholar
  • 27 Masquijo JJ, Jarvis J. Associated talocalcaneal and calcaneonavicular coalitions in the same foot. J Pediatr Orthop B 2010; 19 (06) 507-510
    CrossrefPubMedGoogle Scholar
  • 28 Bhalaik V, Chhabra S, Walsh HP. Bilateral coexistent calcaneonavicular and talocalcaneal tarsal coalition: a case report. J Foot Ankle Surg 2002; 41 (02) 129-134
    CrossrefPubMedGoogle Scholar
  • 29 Lim C, Chu YY. Bilateral multiple tarsal coalitions (talonavicular and talocalcaneal coalitions) with recurrent ankle sprain in an adolescent. Children (Basel) 2022; 9 (01) 100
    PubMedGoogle Scholar
  • 30 Farid A, Faber FWM. Bilateral triple talocalcaneal, calcaneonavicular, and talonavicular tarsal coalition: a case report. J Foot Ankle Surg 2019; 58 (02) 374-376
    CrossrefPubMedGoogle Scholar
  • 31 Goldcher A. Triple synostose bilatérale impliquant le naviculaire et le tarse postérieur. À propos d'un cas. Med Chir Pied 2008; 24: 73-77
    CrossrefGoogle Scholar
  • 32 Reddy Mettu R, Koduru SK, Surath H, Surath A. Total bilateral tarsal coalition: a case report. J Foot Ankle Surg 2016; 55 (05) 1035-1037
    CrossrefPubMedGoogle Scholar
  • 33 Clarke DM. Multiple tarsal coalitions in the same foot. J Pediatr Orthop 1997; 17 (06) 777-780
    CrossrefPubMedGoogle Scholar
  • 34 Hurley P, Panchal H, Kho J, Botchu R. The importance of avoiding satisfaction of search bias in a case of concurrent calcaneonavicular coalition and osteoid osteoma. Indian J Musculoskeletal Radiol 2020; 2 (02) 133-135
    CrossrefGoogle Scholar
  • 35 Botchu R, Rao B, Tyagi R. MDCT of the abdomen: missed diagnoses due to satisfaction of search. AJR Am J Roentgenol 2010; 195 (04) W314-6
    CrossrefPubMedGoogle Scholar
  • 36 Moe DC, Choi JJ, Davis KW. Posterior subtalar facet coalition with calcaneal stress fracture. Am J Roentgenol 2006; 186 (01) 259-264
    CrossrefPubMedGoogle Scholar
  • 37 Schweitzer ME, White LM. Does altered biomechanics cause marrow edema?. Radiology 1996; 198 (03) 851-853
    CrossrefPubMedGoogle Scholar
  • 38 Sijbrandij ES, van Gils AP, de Lange EE, Sijbrandij S. Bone marrow ill-defined hyperintensities with tarsal coalition: MR imaging findings. Eur J Radiol 2002; 43 (01) 61-65
    CrossrefPubMedGoogle Scholar