Skip to main content
Log in

Cavus Foot Deformity with Calcaneonavicular and Medial Cuneiform–Navicular Coalition: A Case Series

  • Case Report
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Tarsal coalitions have only very infrequently been observed in the context of cavus foot abnormalities. Recognizing this diagnosis could be crucial to effective cavus repair. We report tarsal coalitions observed in cavus deformity here. Between 2022 and 2023, the records of every patient treated by one of the authors for a varus deformity who was later determined to have either a unilateral or bilateral tarsal coalition were examined. Two patients with cavus deformities who were treated by one of the authors have either a unilateral or bilateral tarsal coalition. Three foot (medial cuneiform–navicular n = 1 and calcaneonavicular n = 2) with tarsal coalition were examined. All of these cases occurred in patients with idiopathic cavus deformity. Computed tomography scans were used to make a firm diagnosis for each patient. We advise surgeons to keep an awareness for this potential comorbid issue in all cavus foot abnormalities and to take advanced imaging into consideration. In these uncommon cases, the medial cuneiform–navicular and calcaneonavicular joints formed an osseous coalition with pes cavus deformity, which successfully resolved with conservative and surgical treatment, respectively. Level of Clinical Evidence: IV.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

Data availability

A data availability statement is not applicable for this study.

References

  1. Hollander, J., Dusoswa, Q., Dahmen, J., Sullivan, N., Kerkhoffs, G., & Stufkens, S. (2022). 8 out of 10 patients do well after surgery for tarsal coalitions: a systematic review on 1284 coalitions. Foot and Ankle Surgery, 28(7), 1110–1119.

    Article  PubMed  Google Scholar 

  2. Scranton, P. J. (1987). Treatment of symptomatic talocalcaneal coalition. J Bone Jt. Surgery America., 69(4), 533–539.

    Article  Google Scholar 

  3. Khoshbin, A., Law, P., Caspi, L., & Wright, J. (2013). Long-term functional outcomes of resected tarsal coalitions. Foot and Ankle International, 34(10), 1370–1375.

    Article  PubMed  Google Scholar 

  4. Carli, A., Leblanc, E., Amitai, A., & Hamdy, R. (2014). The evaluation and treatment of pediatric tarsal coalitions: a critical analysis review. JBJS Review., 2(8), e2.

    Article  Google Scholar 

  5. Stuecker, R., & Bennett, J. (1993). Tarsal coalition presenting as a pes cavo-varus deformity: report of three cases and review of the literature. Foot & Ankle, 14(9), 540–544.

    Article  CAS  Google Scholar 

  6. Charles, Y., Louahem, D., & Diméglio, A. (2006). Cavovarus foot deformity with multiple tarsal coalitions: Functional and three-dimensional preoperative assessment. Journal of Foot and Ankle Surgery, 45(2), 118–126.

    Article  Google Scholar 

  7. Kurashige, T., & Suzuki, S. (2015). Tibialis Spastic Varus Foot With Calcaneonavicular Coalition: A Case Report and Review of the Literature. Foot Ankle Specialist., 8(6), 532–536.

    Article  PubMed  Google Scholar 

  8. Oestreich, A., Mize, W., Crawford, A., & Morgan, R. J. (1987). The “anteater nose”: A direct sign of calcaneonavicular coalition on the lateral radiograph. Journal of Pediatric Orthopaedics, 7(6), 709–711.

    Article  CAS  PubMed  Google Scholar 

  9. Harris, R., & Beath, T. (1948). Etiology of peroneal spastic flat foot. The Journal of Bone and Joint Surgery. British volume, 30(4), 624–634.

    Article  Google Scholar 

  10. Riccio A (2021) Tarsal Coalition, in Tachdjian’s Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children, Elsevier 747

  11. Simmons, E. (1965). Tibialis spastic varus foot with tarsal coalition. Journal Bone Jt Surgery Br., 47, 533–536.

    Article  CAS  Google Scholar 

  12. Maudsley, R. (1956). Spastic pes varus. Proceedings of the Royal Society of Medicine, 49(4), 181.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Van Rysselberghe, N., Souder, C., & Mubarak, S. (2020). Unsuspected tarsal coalitions in equinus and varus foot deformities. Journal of Pediatric Orthopaedics B, 29(4), 370–374.

    Article  Google Scholar 

  14. Barrett, S., & Johnson, J. (2004). Progressive bilateral cavovarus deformity: an unusual presentation of calcaneonavicular tarsal coalition. American Journal of Orthopedics, 33(5), 239–242.

    PubMed  Google Scholar 

  15. Cowell, H. (1972). Talocalcaneal coalition and new causes of peroneal spastic flatfoot. Clinical Orthopaedics and Related Research, 85, 16–22.

    Article  CAS  PubMed  Google Scholar 

  16. Kumar, S., Guille, J., Lee, M., & Couto, J. (1992). Osseous and non-osseous coalition of the middle facet of the talocalcaneal joint. The Journal of Bone & Joint Surgery, 74(4), 529–535.

    Article  CAS  Google Scholar 

  17. Imai, K., Ikoma, K., Kido, M., Maki, M., Arai, Y., Fujiwara, H., & Kubo, T. (2016). Nonosseous tarsal coalition of the lateral cuneocuboid joint: a case report. Journal of Foot and Ankle Surgery, 55(5), 1072–1075.

    Article  Google Scholar 

Download references

Acknowledgements

The study was carried out in Bezmialem Vakif University Orthopedics and Traumatology Department.

Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Contributions

All authors have read and agreed to this manuscript being submitted for publication. All listed authors meet the criteria, and nobody who qualifies for authorship has been omitted from the list. Contributors have been properly acknowledged, and all authors and contributors have approved their being listed and/or acknowledged. MAI conceived the idea of the study and supervised the IRB proposal, study design, collection of data and wrote the first and edited subsequent drafts. SO and MAG worked in collection and analysis of the data. GU and HS participated in study design and edited the subsequent drafts.

Corresponding author

Correspondence to Mustafa Alper İncesoy.

Ethics declarations

Conflict of Interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical Standard Statement

Ethical approval not required as per our institute review board. All procedures performed in this study involving human participants were in accordance with the ethical standard of the institutional and/ international research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Patients and their parents were informed that data concerning the case would be submitted for publication, and they provided consent.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

İncesoy, M.A., Uzer, G., Orujov, S. et al. Cavus Foot Deformity with Calcaneonavicular and Medial Cuneiform–Navicular Coalition: A Case Series. JOIO 57, 1906–1911 (2023). https://doi.org/10.1007/s43465-023-00979-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43465-023-00979-3

Keywords

Navigation