关键词: arthrodiastasis athlete cuneiform first-degree relative navicular tarsal coalition

Mesh : Adolescent Female Follow-Up Studies Foot Deformities, Congenital / diagnostic imaging surgery Humans Internal Fixators Magnetic Resonance Imaging / methods Multimodal Imaging / methods Osteotomy / methods Postoperative Care Return to Sport Sampling Studies Siblings Soccer / injuries Synostosis / diagnostic imaging surgery Talus / abnormalities diagnostic imaging surgery Tomography, X-Ray Computed / methods Treatment Outcome

来  源:   DOI:10.1053/j.jfas.2015.09.001

Abstract:
Tarsal coalitions are an abnormal union between 2 tarsal bones. They occur most commonly between the calcaneus and talus or the calcaneus and navicular but can also arise from other joints in the foot. Isolated cases of coalitions between the medial cuneiform and navicular are extremely rare, and only a few cases have been reported. Treatment recommendations are, therefore, sparse, and no long-term follow-up data have been reported. We present the case of 2 sisters, each diagnosed with a symptomatic naviculocuneiform coalition. To our knowledge, this is the first reported case in 2 first-degree relatives. Both sisters were involved in sports and presented with pain during physical activities. After conservative treatment had failed, they were both treated successfully with surgical excision of the coalition and arthrodiastasis, followed by a progressive return to activities. At the last follow-up examination at 5 and 3 years postoperatively, they remained pain free and fully involved in college soccer, making excision of a naviculocuneiform coalition with arthrodiastasis a valid treatment in the young athletic population.
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