Talonavicular Coalition as a Cause of Foot Pain

Abstract

Tarsal coalitions have an incidence of 2% and are often underdiagnosed. These are considered to be one of the causes of chronic ankle and foot pain. Among all tarsal coalitions, the talonavicular type represents a rare and uncommon condition. The purpose of this article was to present the case of a 35-year-old male patient with a bilateral talonavicular coalition treated conservatively. A review of the literature was also performed to understand the management of this rare condition.

Incidental discovery of isolated talonavicular coalition: Report of two cases

“…Other literature reviews have demonstrated that talonavicular coalitions, if symptomatic, can be treated conservatively or with a range of surgical options depending on other foot and ankle abnormalities which may be present [1]. Clinically, neither of our patients was deemed symptomatic from their coalitions.…”

“…Talonavicular coalition was first described in 1879 [5]. Both autosomal dominant [5] and autosomal recessive [1] genetic transmission have been proposed based on family histories in different case reports. Perhaps both autosomal recessive and dominant etiologies exist.…”

“…Tarsal coalitions are frequently encountered in musculoskeletal radiology practice, with a prevalence of about 2% [1]. They can be classified as osseous, fibrous, or cartilaginous.…”

Coalização talonavicular parcial: Relato de caso / Partial talonavicular coalition: Case report

“…A terapia conservadora é necessariamente considerada de primeira linha, enquanto a cirurgia é realizada em caso de falha [3]. As opções de tratamento para coalizões geralmente começam com métodos não operatórios por pelo menos 6 meses, incluem repouso de exercícios intensos, fisioterapia para alongar o tendão de Aquiles, tratamento para torção de tornozelo, imobilização de curto prazo por 3 a 4 semanas, botas de proteção para caminhada e órteses para suporte do arco e salto medial [6].…”

“…As medidas conservadoras, como paracetamol 1 g e ibuprofeno 600 mg em caso no de dor, fisioterapia (exercícios excêntricos de panturrilha e laserterapia) e órteses Brazilian Journal of Health Review, Curitiba, v.4, n.5, p. 21605-21613 sep./oct. 2021 funcionais para os pés com suporte de arco medial por um período de 12 meses [3]. Em alguns casos, a infiltração localizada de injeções de esteróides pode fornecer alívio [4].…”