Nonosseous Tarsal Coalition of the Lateral Cuneocuboid Joint: A Case Report

• Published in: The Journal of foot and ankle surgery 2016-09, Vol.55 (5), p.1072-1075
• Main Authors: Imai, Kan, MD, PhD, Ikoma, Kazuya, MD, PhD, Kido, Masamitsu, MD, PhD, Maki, Masahiro, MD, PhD, Arai, Yuji, MD, PhD, Fujiwara, Hiroyoshi, MD, PhD, Kubo, Toshikazu, MD, PhD
• Format: Article
• Language: English
• Subjects: cuboid; Female; Follow-Up Studies; foot; Humans; Imaging, Three-Dimensional; lateral cuneiform; Magnetic Resonance Imaging - methods; Middle Aged; Orthopedics; Osteotomy - methods; Pain Measurement; Postoperative Care - methods; Range of Motion, Articular - physiology; surgery; Tarsal Bones - diagnostic imaging; Tarsal Bones - surgery; tarsal coalition; Tarsal Coalition - diagnostic imaging; Tarsal Coalition - surgery; Tarsal Joints - diagnostic imaging; Tarsal Joints - surgery; Tomography, X-Ray Computed - methods; Treatment Outcome
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1053/j.jfas.2015.07.008

Abstract We describe a rare case of a nonosseous coalition of the lateral cuneocuboid joint with peroneal spasm that we successfully treated with resection. A 60-year-old female had been experiencing constant pain in her right foot, particularly when walking and going up and down stairs. The pain had been present for approximately 1 year after she had experienced a minor injury. Her right ankle showed plantar flexion restrictions (right 20° and left 40°) and was held in an antalgic valgus position. Sudden passive plantar flexion produced pain behind the lateral malleolus of the right ankle. Tenderness was detected in the right peroneus brevis tendon and the right sinus tarsi. On plain radiographs, the oblique view showed an irregularity in the articular surface of the lateral cuneocuboid joint in both feet. On computed tomography images, there was no osseous continuation in the lateral cuneocuboid joint, indicative of a nonosseous bridge between the lateral cuneiform and the cuboid. The nonosseous coalition between the lateral cuneiform and the cuboid was resected and the trabecular surfaces and cortical margins covered with a thin film of bone wax. The patient's recovery was unremarkable, and 1 year after surgery, she was able to walk without pain and was able to perform her usual activities and job.