Talocalcaneal and calcanealnavicular coalitions


Description of patient (type of occupation, indication of age, intensity of sport):

12 y old boy

History and previous treatment:

Pain and discomfort begun one year ago after sport activity

Current complaints:

Pain after sport activity

Physical examination:

Pronated flat foot. Stiffness of the subtalar joint. Pain occurs during inversion-eversion test. Pain referred at sinus tarsi level


Standard x-ray not available

Additional investigation (CT/MRI):
[Picture1 + 2]

CT scan: fibrocartilaginous talocalcaneal and calcaneonavicular coalitions


Case summary:

Talocalcaneal and calcanealnavicular coalitions

Question(s) to this case:

If surgery is recommended, at what age is best to plan the surgery?
what is the procedure of choice?


Depending on the size of this talo calcaneal coalition: usually at this age: resection. For the calcaneonavicular bar: resection.