--- title: "Naviculocuneiform coalition: 2 sibling soccer players. | Sutter Health" description: "Excision of a naviculocuneiform coalition with arthrodiastasis is a valid treatment in the young athletic population." url: "https://www.sutterhealth.org/research/publications/naviculocuneiform-coalition-2-sib-soccer-players-1055312396" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Naviculocuneiform coalition: 2 sibling soccer players. # Naviculocuneiform coalition: case reports of two sibling soccer players. Saxena A & Fournier M. _J Foot Ankle Surg. pii: S1067-2516(15)00414-7. doi: 10.1053/j.jfas.2015.09.001. \[Epub ahead of print\]_ 2015-10-17 ## Abstract Tarsal coalitions are an abnormal union between 2 tarsal bones. They occur most commonly between the calcaneus and talus or the calcaneus and navicular but can also arise from other joints in the foot. Isolated cases of coalitions between the medial cuneiform and navicular are extremely rare, and only a few cases have been reported. Treatment recommendations are, therefore, sparse, and no long-term follow-up data have been reported. We present the case of 2 sisters, each diagnosed with a symptomatic naviculocuneiform coalition. To our knowledge, this is the first reported case in 2 first-degree relatives. Both sisters were involved in sports and presented with pain during physical activities. After conservative treatment had failed, they were both treated successfully with surgical excision of the coalition and arthrodiastasis, followed by a progressive return to activities. At the last follow-up examination at 5 and 3 years postoperatively, they remained pain free and fully involved in college soccer, making excision of a naviculocuneiform coalition with arthrodiastasis a valid treatment in the young athletic population. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/26489490) ## 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) - [Women's Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Women%27s+Health%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Cuboid-navicular tarsal coalition: report of a small case series with description of a surgical approach for resection.](https://www.sutterhealth.org/research/publications/cuboid-navicular-tarsal-coalition-resection-1055312374) 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 Nov 01 - 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 ### [Comparison between extracorporeal shockwave therapy, placebo ESWT and endoscopic plantar fasciotomy for the treatment of chronic plantar heel pain in the athlete.](https://www.sutterhealth.org/research/publications/heel-pain-shockwave-tx-endosc-fasciotomy-1055312338) Saxena A, Fournier M, Gerdesmeyer L, Gollwitzer H. Muscles Ligaments Tendons J. 2(4):312-6. Print 2012 Oct. 2013 Jan 21 - Publication ### [The "not so simple" ankle fracture: avoiding problems and pitfalls to improve patient outcomes.](https://www.sutterhealth.org/research/publications/complex-ankle-fx-pt-outcomes-1055312981) Hak DJ, Egol KA, Gardner MJ, Haskell A. Instr Course Lect. 60:73-88. 2011 Jan 01 - Publication ### [Navicular stress fracture outcomes in athletes: analysis of 62 injuries.](https://www.sutterhealth.org/research/publications/navicular-stress-fracture-outcomes-in-athletes-1055312351) Saxena A, Behan SA, Valerio DL, Frosch DL. J Foot Ankle Surg. 56(5):943-948. doi: 10.1053/j.jfas.2017.06.009. 2017 Sep 01 [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/naviculocuneiform-coalition-2-sib-soccer-players-1055312396#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":"Naviculocuneiform coalition: 2 sibling soccer players."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/naviculocuneiform-coalition-2-sib-soccer-players-1055312396#medicalscholarlyarticle","name":"Naviculocuneiform coalition: case reports of two sibling soccer players.","headline":"Naviculocuneiform coalition: 2 sibling soccer players.","abstract":"Tarsal coalitions are an abnormal union between 2 tarsal bones. They occur most commonly between the calcaneus and talus or the calcaneus and navicular but can also arise from other joints in the foot. Isolated cases of coalitions between the medial cuneiform and navicular are extremely rare, and only a few cases have been reported. Treatment recommendations are, therefore, sparse, and no long-term follow-up data have been reported. We present the case of 2 sisters, each diagnosed with a symptomatic naviculocuneiform coalition. To our knowledge, this is the first reported case in 2 first-degree relatives. Both sisters were involved in sports and presented with pain during physical activities. After conservative treatment had failed, they were both treated successfully with surgical excision of the coalition and arthrodiastasis, followed by a progressive return to activities. 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