Abstract
Tarsal coalition is a rare condition; only two cases had been reported showing first tarsometatarsal joint coalition. We presented a case of a 22-year-old man who had a medial column left foot pain started 5 years prior to diagnosis. Patient was diagnosed with left first tarsometatarsal joint coalition. Following consultation, the patient decided to undergo surgery. Surgical management included debridement of the coalition and reconstruction of articular surface with Chondrotissue. Outcomes were assessed using the Manchester Oxford Foot Questionnaire (MOXFQ) and Foot and Ankle Ability Measure (both Activity of daily living subscale [FAAM ADL] and Sport subscale [FAAM Sport]). Postoperative follow-up continued for 6 months. The overall MOXFQ score had improved from 84 to 43.75%. FAAM ADL scores improved from 39.3 to 91.66%. FAAM sport scores had improved from 0% preoperatively to 33.37% at 6 months postoperatively. Patient had a significant improvement in all aspect of activities of daily living, sport, pain and social interaction (as measured by MOXFQ, FAAM ADL/Sports).
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Data Availability
All data used for this manuscript are available and stored anonymously by the first author.
References
Crim JR, Kjeldsberg KM. Radiographic diagnosis of tarsal coalition. Am J Roentgenol 2004;182(2):323-328.
Conway JJ, Cowell HR. Tarsal coalition: clinical significance and roentgenographic demonstration. Radiology. 1969;92(4):799–811.
Soni JF, Valenza W, Matsunaga C. Tarsal coalition. Curr Opin Pediatr. 2020;32(1):93–9.
Tanaka Y, Takakura Y, Sugimoto K, Kumai T. Non-osseous coalition of the medial cuneiform-first metatarsal joint: a case report. Foot Ankle Int. 2000;21(12):1043–6.
Takakura Y, Nakata H. Isolated first cuneometatarsal coalition: a case report. Foot Ankle Int. 1999;20(12):815–7.
Chytas A, Chaudhry S, Alshryda S. Evidence-based treatment for tarsal coalition. Paediatric Orthopaedics: Springer 2017;175–182. https://doi.org/10.1007/978-3-319-41142-2_20.
Sekiya JK, Saltzman CL. Long term follow-up of medial column fusion and tibialis anterior transposition for adolescent flatfoot deformity. The Iowa orthopaedic journal. 1997;17:121.
Zhang L, Hu J, Athanasiou KA. The role of tissue engineering in articular cartilage repair and regeneration. Critical Reviews™ in Biomedical Engineering 2009;37(1-2). https://doi.org/10.1615/CritRevBiomedEng.v37.i1-2.10.
Siclari A, Mascaro G, Gentili C, Cancedda R, Boux E. A cell-free scaffold-based cartilage repair provides improved function hyaline-like repair at one year. Clin Orthop Relat Res. 2012;470(3):910–9.
Erggelet C, Endres M, Neumann K, Morawietz L, Ringe J, Haberstroh K, et al. Formation of cartilage repair tissue in articular cartilage defects pretreated with microfracture and covered with cell-free polymer-based implants. J Orthop Res. 2009;27(10):1353–60.
Novak EJ, Elzik M, Diab M. Symptomatic coalition between the first and second metatarsals in a child. Orthopedics 2008;31(12). https://doi.org/10.3928/01477447-20081201-14.
Vira S, McCormack R, Felder GJ, Otsuka NY. Calcaneonavicular coalition with naviculocuneiform and cuneiform-first metatarsal coalitions: a case report. Bulletin of the NYU Hospital for Joint Diseases. 2016;74(2):165–5.
Kanatlı U, Eren A, Eren TK, Vural A, Geylan DE, Öner AY. Single-step arthroscopic repair with cell-free polymer-based scaffold in osteochondral lesions of the talus: clinical and radiological results. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2017;33(9):1718–26.
Acknowledgements
The authors declare that no part of this study has been taken from existing published or unpublished materials without due acknowledgement and that all secondary materials used herein has been fully referenced.
Code Availability
NA
Author information
Authors and Affiliations
Contributions
Ahmed Aljawadi: project design, data collection and analysis, manuscript writing. Amirul Islam: data collection and analysis, critical drafting and reviewing. Noman Jahangir: manuscript writing, critical drafting and reviewing. Noman Niazi: data analysis, critical review and drafting. Anand Pillai: operating surgeon, data collection, manuscript writing, critical review and drafting.
Corresponding author
Ethics declarations
Ethical Approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Consent for Publication
Consent for publication had been obtained from all authors.
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Surgery
Rights and permissions
About this article
Cite this article
Aljawadi, A., Islam, A., Jahangir, N. et al. Medial Column Foot Pain due to Isolated First Tarsometatarsal Joint Coalition: Case Report and Surgical Technique. SN Compr. Clin. Med. 3, 1740–1745 (2021). https://doi.org/10.1007/s42399-021-00857-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s42399-021-00857-9