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Calcaneonavicular coalition

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Chronic hindfoot pain exacerbated by sport. Finding it increasingly difficult to play football.

Patient Data

Age: 10 years
Gender: Male
x-ray

There is a narrowing of the calcaneonavicular joint space with accompanying sclerosis. Appearances are of a coalition.

Case Discussion

The plain films show persistence of the calcaneonavicular joint space, but there is sclerosis suggestive of an underlying coalition. This could be confirmed with cross-sectional imaging; but, in this case the severity of symptoms resulted in primary orthopedic intervention and excision of the coalition.

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