Bilateral Naviculo-Medial Cuneiform Coalition: One Case Report
10.4055/jkoa.1996.31.6.1253
- Author:
Eung Joo LEE
;
Sang Soo LEE
;
Ho Geun CHANG
;
Won Ho CHO
;
Chang Ju LEE
- Publication Type:Case Report
- Keywords:
Naviculo-cuneiform;
Coalition;
Resection arthroplasty
- MeSH:
Arthroplasty;
Biopsy;
Diagnosis;
Female;
Humans;
Joints;
Recurrence
- From:The Journal of the Korean Orthopaedic Association
1996;31(6):1253-1258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report one case of bilateral naviculo-medial cuneiform coalition in ten year old girl. She complained of pain in the medial aspect of the mid-foot related to long periods of standing and activity. Routine roentgenographs, specifically lateral views showed a bony bridge between the navicular bone and medial cuneiform. A biopsy revealed as fibrocartilaginous tissue. The bony bridge consists about one third in lateral view and 30 degree cephalad tilting in the antero-posterior view. Bilateral resection arthroplasty, with interposing flesh muscle fibers of the abductor hallucis, was performed for restoration of motion in the naviculo-medial cuneiform joint and relief of localized pain. Four months after surgery, pain around the mid-foot had almost complete subsided. One year postoperative, neither recurrence nor disability was observed. We will discuss the diagnosis and treatment of this rare case of bilateral naviculo-medial cuneiform coalition.
