Isolated first tarsometatarsal coalition in children: a case report and literature review
10.3760/cma.j.cn121113-20250316-00262
- VernacularTitle:青少年第一跖楔联合一例报告及文献复习
- Author:
Mingtong HAN
1
;
Gaofeng ZHANG
1
;
Qinglin ZHANG
1
;
Lei ZHANG
1
;
Benlei WEI
1
Author Information
1. 济宁医学院附属医院手足外科，济宁 272000
- Publication Type:Journal Article
- Keywords:
Child;
Adolescent;
Tarsal coalition;
Tarsometatarsal coalition;
Clinical protocols
- From:
Chinese Journal of Orthopaedics
2025;45(19):1271-1274
- CountryChina
- Language:Chinese
-
Abstract:
We report a case of a 14-year-old male with first metatarsocuneiform coalition. With a 1-month history of left foot pain the patient presented to some hospital 8 months ago, where conservative management, including rest, physiotherapy, and medication, was administered. However, symptoms gradually worsened. On admission to our hospital, radiograph revealed a bony bridge at the left first metatarsocuneiform joint, which had enlarged compared with the radiograph 8 months earlier. The patient was diagnosed as first metatarsocuneiform coalition in the left foot and underwent resection of the bony bridge, followed by plaster immobilization for 3 weeks. At 3 months postoperatively, he had resumed normal activity without pain or discomfort. First metatarsocuneiform coalition is a rare type of tarsal coalition. Currently, there are no standardized surgical indications or established treatment protocols. Given the uncertainty of surgical outcomes, conservative treatment should be the primary choice. Surgical intervention may be considered when conservative measures fail or symptoms continue to worsen.
