Calcaneonavicular coalition

Case contributed by Aneta Kecler-Pietrzyk
Diagnosis certain

Presentation

Eleven year-old with plantar aspect of the foot pain since trauma whilst playing hurling 2 weeks ago.

Patient Data

Age: 11
Gender: Male
x-ray

Calcaneonavicular coalition.

No acute fracture.

Unfused calcaneal apophysis.

Case Discussion

Calcaneonavicular coalition is not uncommonly observed. In this case it was asymptomatic until trauma to this area was a cause for imaging.

It is important to remember that the apophysis of the calcaneus fuses by the age 12 - 15 in both sexes. In rare cases it may be delayed until age 16 in females and 22 in males. 

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