Surgical management of an isolated symptomatic talonavicular coalition: a paediatric perspective

Keval Patel; Abdullah Khawaja; Aman Patel; Michail Kokkinakis

doi:10.1136/bcr-2021-243761

Surgical management of an isolated symptomatic talonavicular coalition: a paediatric perspective

BMJ Case Rep. 2021 Nov 1;14(11):e243761. doi: 10.1136/bcr-2021-243761.

Authors

Keval Patel¹, Abdullah Khawaja², Aman Patel², Michail Kokkinakis³

Affiliations

¹ Department of Paediatric Orthopaedic Surgery, Evelina London Children's Hospital, London, UK.
² King's College London Faculty of Life Sciences and Medicine, London, UK.
³ Department of Paediatric Orthopaedic Surgery, Evelina London Children's Hospital, London, UK michail.kokkinakis@gstt.nhs.uk.

Abstract

Talonavicular (TN) coalition is a rare pathological union of the talus and navicular bones. We report the case of a 7-year-old girl with a symptomatic TN coalition, who underwent operative management with a lateral column lengthening procedure using autologous iliac crest bone grafting. There are no complications to report and the graft was incorporated at an early stage. At 3 year follow-up the patient has remained pain-free since the operation and maintained alignment. To our knowledge, this is the first reported case of TN coalition treated with reconstructive surgery in a paediatric patient.

Keywords: orthopaedics; paediatrics.

Publication types

Case Reports

MeSH terms

Bone Transplantation
Child
Female
Foot Deformities, Congenital* / diagnostic imaging
Foot Deformities, Congenital* / surgery
Humans
Ilium / diagnostic imaging
Ilium / surgery
Talus* / abnormalities
Talus* / diagnostic imaging
Talus* / surgery

Supplementary concepts

Talonavicular coalition