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Talonavicular coalition

MedGen UID:
350002
•Concept ID:
C1861296
•
Congenital Abnormality
Synonym: TALONAVICULAR COALITION
 
Monarch Initiative: MONDO:0008526
OMIM®: 186750

Clinical features

From HPO
Foot pain
MedGen UID:
42074
•Concept ID:
C0016512
•
Sign or Symptom
An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to the foot.
See: Feature record | Search on this feature
Proximal/middle symphalangism of 5th finger
MedGen UID:
332151
•Concept ID:
C1836212
•
Finding
Fusion of the proximal and middle phalanges of the 5th finger.
See: Feature record | Search on this feature
Clinodactyly of the 5th finger
MedGen UID:
340456
•Concept ID:
C1850049
•
Congenital Abnormality
Clinodactyly refers to a bending or curvature of the fifth finger in the radial direction (i.e., towards the 4th finger).
See: Feature record | Search on this feature
Short hallux
MedGen UID:
400890
•Concept ID:
C1865992
•
Finding
Underdevelopment (hypoplasia) of the big toe.
See: Feature record | Search on this feature
Abnormality of the ankle
MedGen UID:
871183
•Concept ID:
C4025660
•
Anatomical Abnormality
An anomaly of the joint that connects the foot with the leg.
See: Feature record | Search on this feature
Coalescence of tarsal bones
MedGen UID:
870676
•Concept ID:
C4025130
•
Anatomical Abnormality
See: Feature record | Search on this feature
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Recent clinical studies

Etiology

Lateral Column Lengthening for Flexible Flat Foot: Was It Short to Begin With?
Frenkel Rutenberg T, Shemesh S, Rutenberg R, Heller S, Haviv B, Burg A
Isr Med Assoc J 2021 Aug;23(8):506-509. PMID: 34392628
Bilateral Triple Talocalcaneal, Calcaneonavicular, and Talonavicular Tarsal Coalition: A Case Report.
Farid A, Faber FWM
J Foot Ankle Surg 2019 Mar;58(2):374-376. doi: 10.1053/j.jfas.2018.08.047. PMID: 30850104
An Incidental Finding of a Talonavicular and Talocalcaneal Joint Coalition After a Tibial Pilon Fracture: A Case Report.
Godoy HM, Micciche MJ
J Foot Ankle Surg 2017 Nov-Dec;56(6):1332-1334. Epub 2017 Aug 18 doi: 10.1053/j.jfas.2017.06.005. PMID: 28826785
Naviculocuneiform Coalition: Case Reports of Two Sibling Soccer Players.
Saxena A, Fournier M
J Foot Ankle Surg 2016 Sep-Oct;55(5):1013-7. Epub 2015 Oct 17 doi: 10.1053/j.jfas.2015.09.001. PMID: 26489490
Symptomatic talonavicular coalition.
Doyle SM, Kumar SJ
J Pediatr Orthop 1999 Jul-Aug;19(4):508-10. doi: 10.1097/00004694-199907000-00016. PMID: 10413002

Diagnosis

Lateral Column Lengthening for Flexible Flat Foot: Was It Short to Begin With?
Frenkel Rutenberg T, Shemesh S, Rutenberg R, Heller S, Haviv B, Burg A
Isr Med Assoc J 2021 Aug;23(8):506-509. PMID: 34392628
An incidental talonavicular coalition in a diabetic patient: a podiatric perspective.
Shtofmakher G, Rozenstrauch A, Cohen R
BMJ Case Rep 2014 May 14;2014 doi: 10.1136/bcr-2014-204510. PMID: 24827664Free PMC Article
Complete bony coalition of the talus and navicular: decades of discomfort.
Bryson D, Uzoigwe CE, Bhagat SB, Menon DK
BMJ Case Rep 2011 Jun 15;2011 doi: 10.1136/bcr.03.2011.4031. PMID: 22691945Free PMC Article
Congenital talonavicular synostosis. A review of the literature and a case report.
Bonk JH, Tozzi MA
J Am Podiatr Med Assoc 1989 Apr;79(4):186-9. doi: 10.7547/87507315-79-4-186. PMID: 2659767
Talonavicular coalition.
Zeide MS, Wiesel SW, Terry RL
Clin Orthop Relat Res 1977 Jul-Aug;(126):225-7. PMID: 598123

Prognosis

Bilateral Triple Talocalcaneal, Calcaneonavicular, and Talonavicular Tarsal Coalition: A Case Report.
Farid A, Faber FWM
J Foot Ankle Surg 2019 Mar;58(2):374-376. doi: 10.1053/j.jfas.2018.08.047. PMID: 30850104
An Incidental Finding of a Talonavicular and Talocalcaneal Joint Coalition After a Tibial Pilon Fracture: A Case Report.
Godoy HM, Micciche MJ
J Foot Ankle Surg 2017 Nov-Dec;56(6):1332-1334. Epub 2017 Aug 18 doi: 10.1053/j.jfas.2017.06.005. PMID: 28826785
Naviculocuneiform Coalition: Case Reports of Two Sibling Soccer Players.
Saxena A, Fournier M
J Foot Ankle Surg 2016 Sep-Oct;55(5):1013-7. Epub 2015 Oct 17 doi: 10.1053/j.jfas.2015.09.001. PMID: 26489490
Medial column stabilization improves the early result of calcaneal lengthening in children with cerebral palsy.
Huang CN, Wu KW, Huang SC, Kuo KN, Wang TM
J Pediatr Orthop B 2013 May;22(3):233-9. doi: 10.1097/BPB.0b013e32835f1ede. PMID: 23531550
Symptomatic talonavicular coalition.
Doyle SM, Kumar SJ
J Pediatr Orthop 1999 Jul-Aug;19(4):508-10. doi: 10.1097/00004694-199907000-00016. PMID: 10413002

Clinical prediction guides

Treatment of isolated talonavicular coalition: Case report and literature review.
Duan X, Yang L
J Int Med Res 2018 Dec;46(12):5322-5330. Epub 2018 Nov 19 doi: 10.1177/0300060518810889. PMID: 30453800Free PMC Article
Surgical correction of the ball and socket ankle joint in the adult associated with a talonavicular tarsal coalition.
Ellington JK, Myerson MS
Foot Ankle Int 2013 Oct;34(10):1381-8. Epub 2013 Apr 26 doi: 10.1177/1071100713488762. PMID: 23624908

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