--- title: "Cuboid-navicular tarsal coalition: surgical resection. | Sutter Health" description: "Cuboid-navicular coalition treated by surgical resection with adipose graft provides excellent results." url: "https://www.sutterhealth.org/research/publications/cuboid-navicular-tarsal-coalition-resection-1055312374" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Cuboid-navicular tarsal coalition: surgical resection. # Cuboid-navicular tarsal coalition: report of a small case series with description of a surgical approach for resection. Sarage AL, Gambardella GV, Fullem B, Saxena A, & Caminear DS. _J Foot Ankle Surg. 51(6):783-6. doi: 10.1053/j.jfas.2012.07.003. Epub 2012 Aug 1._ 2012-11-01 ## Abstract Tarsal coalitions are an uncommon pathology, representing approximately a 1% occurrence in the general population, and most commonly diagnosed in the younger population. Coalitions between the cuboid and navicular are especially rare. In this case series, all patients were young (15-35 years of age), active patients with fibrous coalitions at the cuboid-navicular interface; 3 of the 4 patients related a past history of ankle sprains on the affected side. After conservative treatment was exhausted and a diagnostic injection was performed that eliminated the pain, surgical intervention was used that consisted of coalition resection and interposition of an adipose graft harvested from the lower leg. All patients were able to return to their previous level of activity and remain pain-free at the surgical site. Our series of 4 cases of this coalition suggests that, although rare, cuboid-navicular coalition should be included in the differential diagnosis when patients present with persistent foot pain and suspicion of tarsal coalition is high. We also demonstrate that surgical resection of this coalition with an interpositional adipose graft provides excellent results. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/22857847) ## Research topics - [Child and Adolescent Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Child+and+Adolescent+Health%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [A unique procedure for treatment of osteochondral lesions of the tarsal navicular: three cases in athletes.](https://www.sutterhealth.org/research/publications/unique-tx-osteochondral-lesions-tarsal-navicular-1055312365) Saxena A, Fullem BW. J Foot Ankle Surg. 52(2):249-53. doi: 10.1053/j.jfas.2012.10.019. Epub 2013 Jan 10. 2013 Mar 01 - Publication ### [Naviculocuneiform coalition: case reports of two sibling soccer players.](https://www.sutterhealth.org/research/publications/naviculocuneiform-coalition-2-sib-soccer-players-1055312396) Saxena A, Fournier M. J Foot Ankle Surg. pii: S1067-2516(15)00414-7. doi: 10.1053/j.jfas.2015.09.001. \[Epub ahead of print\] 2015 Oct 17 - Publication ### [Use of an anti-gravity treadmill in the rehabilitation of the operated achilles tendon: a pilot study.](https://www.sutterhealth.org/research/publications/anti-gravity-treadmill-achilles-tendon-rehab-1055312414) Saxena A, Granot A. J Foot Ankle Surg. 50(5):558-61. doi: 10.1053/j.jfas.2011.04.045. Epub 2011 Jun 23. Send to: 2011 Sep 01 - Publication ### [Percutaneous plating of Weber B fibular fractures.](https://www.sutterhealth.org/research/publications/percutaneous-plate-weber-b-fibula-fx-1055312373) Saxena A, Yun A. J Foot Ankle Surg. pii: S1067-2516(16)30393-3. doi: 10.1053/j.jfas.2016.11.012. \[Epub ahead of print\] 2017 Jan 12 - Publication ### [Plate fixation with autogenous calcaneal dowel grafting proximal fourth and fifth metatarsal fractures: technique and case series.](https://www.sutterhealth.org/research/publications/plate-fix-autog-calcan-dowel-graft-4-5-metatar-fx-1055312444) Seidenstricker CL, Blahous EG, Bouché RT, Saxena A. J Foot Ankle Surg. pii: S1067-2516(17)30286-7. doi: 10.1053/j.jfas.2017.04.035. \[Epub ahead of print\] 2017 Jun 09 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/cuboid-navicular-tarsal-coalition-resection-1055312374#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Cuboid-navicular tarsal coalition: surgical resection."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/cuboid-navicular-tarsal-coalition-resection-1055312374#medicalscholarlyarticle","name":"Cuboid-navicular tarsal coalition: report of a small case series with description of a surgical approach for resection.","headline":"Cuboid-navicular tarsal coalition: surgical resection.","abstract":"Tarsal coalitions are an uncommon pathology, representing approximately a 1% occurrence in the general population, and most commonly diagnosed in the younger population. Coalitions between the cuboid and navicular are especially rare. In this case series, all patients were young (15-35 years of age), active patients with fibrous coalitions at the cuboid-navicular interface; 3 of the 4 patients related a past history of ankle sprains on the affected side. After conservative treatment was exhausted and a diagnostic injection was performed that eliminated the pain, surgical intervention was used that consisted of coalition resection and interposition of an adipose graft harvested from the lower leg. All patients were able to return to their previous level of activity and remain pain-free at the surgical site. Our series of 4 cases of this coalition suggests that, although rare, cuboid-navicular coalition should be included in the differential diagnosis when patients present with persistent foot pain and suspicion of tarsal coalition is high. 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