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  E-mail Message: I thought you might be interested in this item at http://www.worldcat.org/oclc/761954023 Title: Isolated navicular-medial cuneiform tarsal coalition revisited: a case report. Publisher: ISBN/ISSN: 0271-6798 OCLC:761954023

  
  

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Isolated navicular-medial cuneiform tarsal coalition revisited: a case report.

Author:	JR Ross; MB Dobbs
Edition/Format:	Article : English
Publication:	Journal of pediatric orthopedics, 2011 Dec; 31(8): e85-8
Database:	From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
Other Databases:	Elsevier
Summary:	Tarsal coalitions between the navicular and the cuneiforms occur infrequently when compared with the more common talocalcaneal and calcaneonavicular coalitions. Isolated cases of navicular-medial cuneiform coalitions have only rarely been reported; however, the diagnosis is likely underrecognized. Conservative management should be pursued initially for symptomatic patients, followed by surgical options for unresponsive cases. The few reports available recommend treatment with navicular-medial cuneiform fusions, but long-term follow-up is not available to assess outcome and it remains unclear whether an isolated arthrodesis of the navicular-medial cuneiform joint will in turn lead to differing biomechanics of adjacent joints. We report a case of a patient with an isolated navicular-medial cuneiform coalition, treated with resection and free-fat interposition rather than arthrodesis. To our knowledge, this is the first case of a navicular-medial cuneiform coalition reported in a patient of North American ancestry. At 2 years postoperatively, she is pain-free with all activities and has full range of motion of her ankle and subtalar joints, and full mobility at the navicular-medial cuneiform joint. This unique method provided a successful solution to this difficult situation.  Read more...
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