Metatarsal coalition

NewsBot · Feb 7, 2015

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Distal metatarsal coalition: a rare case report
Article in Press
Shen Hwa Vun et al
International Journal of Surgery Case Reports; Article in Press

Highlights
•Metatarsal coalition is rare.
•This is the second reported case occurring at the level of distal metatarsal.
•Timing of ossification of coalition varies from one anatomical site to another.
•Surgery performed before complete ossification of the coalition risks recurrence.
•Conservative management should be persevered until skeletal maturity.
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Introduction
Metatarsal coalition is an extremely rare condition. We report the second documented case of 4th and 5th distal metatarsal coalition in the literature.

PRESENTATION OF CASE:

An eight year old girl was referred to an orthopaedic clinic with a four-month history of forefoot pain and swelling on the plantar aspect of the right little toe. Radiograph and clinical examination confirmed distal metatarsal coalition between the 4th and 5th metatarsals. Following a period of conservative treatment, excision was eventually performed due to worsening symptoms. Patient re-attended two years later with a recurrence of the coalition confirmed by computed tomography (CT) scan. The case was discussed at a tertiary paediatric orthopaedic insititution. Decision was made to manage patient conservatively with insole and physiotherapy until skeletal maturity. A year later, patient's symptoms did not worsen, and her foot displayed no evidence of change in the arch and shape.

Discussion
The timing of ossification of coalition varies from one anatomical site to another. Surgery when performed before ossification is complete runs the risk of recurrence.

Conclusion
Conclusion

Our case report illustrates the importance of restoring normal weight bearing dynamics and pain relief when managing metatarsal coalition, or synostosis in skeletally immature patients. We recommend persevering with conservative treatment, with operative treatment reserved only as a later option, and ideally, until skeletal maturity is achieved.
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NewsBot · Jul 30, 2015

Surgical Resection of Bilateral Coalition of the Third and Fourth Metatarsals: A Case Report
Karl W. Dunn, DPM, Anthony R. Giordano, DPM, FACFASc
Jnl Foot and Ankle Surgery; Article in Press

An intermetatarsal coalition is an uncommon pathologic entity, previously reported in published studies as being primarily unilateral, most commonly between the first and second metatarsals and less so between the third and fourth metatarsals. We report an unusual case of a bilateral coalition of the third and fourth metatarsals in a 43-year-old male who presented with nonspecific dorsolateral foot pain. Conservative therapy initially failed, and resolution of pain was noted bilaterally after coalition resection.
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NewsBot · Mar 18, 2020

Surgical Resection of Intermetatarsal Coalition of the Fourth and Fifth Founded in Long Distance Running
Myung Guk Cho, Samuel Baek, Sun Geun Lee and Chungwon Bang
Korean J Sports Med. 2020 Mar;38(1):55-58

Intermetatarsal coalition (IC) is very rare; although few cases have been reported in foreign orthopedic journals, these have not originated in our country. We report the case of a 20-year-old man who complained of pain in the left forefoot only during long distance running (3 km). On examination, his foot shape, skin appearance, and gait were normal, with no plantar keratosis; however, the radiograph revealed coalition between the fourth and fifth metatarsals. Surgical excision was performed. In the histopathologic study, fibrous coalition was confirmed. This paper reports an uncommon case involving surgical excision of IC in the military service, involving active sport activity.
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NewsBot · Feb 25, 2021

Intermetatarsal Coalition: Case Report, Literature Review, and Imaging Findings of an Underrecognized and Underdiagnosed Cause of Foot Pain
WanYin Lim et al
Case Rep Radiol. 2021 Feb 8

Coalition is defined as abnormal bridging between two bones, and the connection can be osseous or nonosseous. Most coalitions in the foot involve the hindfoot. Intermetatarsal coalition is thought to be much rarer than the more common hindfoot coalitions and has only been reported sporadically in the orthopedic literature. We present two patients with nonosseous intermetatarsal coalition presenting with nonspecific dorsolateral foot pain and describe the imaging findings of intermetatarsal coalition with different modalities. We suspect that whilst rarely described, intermetatarsal coalition is quite likely a more common underrecognized entity than a rare entity. This report is aimed at increasing the awareness of coalition in this location, in the radiology community, particularly the nonosseous ones, given that this condition can be debilitating but treatable.
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NewsBot · Mar 6, 2023

A Rare Non Syndromic Case Of Metatarsal
Coalition
Dr. Surbhi Kapoo et al
TIJER || ISSN 2349-9249 || © February 2023

Coalition or synostosis of the foot is a relatively uncommon abnormality. Some cases of
synostosis of the foot, primarily involving the midfoot and hindfoot, have been reported.
However, intermetatarsal coalition is extremely rare, with only a small number of cases
reported in literature. We report a case of a unilateral, congenital metatarsal coalition between
the fourth and fifth metatarsal bones in a 31 year old female
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