Rare Combination of a Cuboid-navicular Tarsal Coalition with a Closed Tibialis Anterior Tendon Rupture: A Case Report and Review of the Literature
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Rare Combination of a Cuboid-navicular Tarsal Coalition with a Closed Tibialis Anterior Tendon Rupture: A Case Report and Review of the Literature. / Berger-Groch, Josephine; Rueger, Johannes M; Spiro, Alexander S.
in: J Orthop Case Rep, Jahrgang 8, Nr. 5, 12.02.2019, S. 3-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Rare Combination of a Cuboid-navicular Tarsal Coalition with a Closed Tibialis Anterior Tendon Rupture: A Case Report and Review of the Literature
AU - Berger-Groch, Josephine
AU - Rueger, Johannes M
AU - Spiro, Alexander S
PY - 2019/2/12
Y1 - 2019/2/12
N2 - Introduction: Tibialis anterior tendon (TAT) rupture and cuboid-navicular coalition (CNC) are rare, to the best of our knowledge, only 238 cases of TAT rupture and 34 cases of CNC are described in the past century.Case Report: A 47-year-old man came with a sudden onset of foot pain including drop foot to our department. We diagnosed a TAT rupture, which was fixed through suture. The pathologist testified degenerative changes in the tendon. In addition, a CNC was diagnosed. No extra treatment was necessary for the CNC. At the 6-year follow-up examination, the patient had no pain and went back to normal day activities (AOFAS 95/100 points).Conclusion: We presume that, in our case, the long-term stress at the TAT through the foot deformity, caused by the CNC, may have supported the tendon rupture. CNC normally is symptom free. Therapy of a painful CNC should start with a conservative therapy. When this fails, an operation can be considered.
AB - Introduction: Tibialis anterior tendon (TAT) rupture and cuboid-navicular coalition (CNC) are rare, to the best of our knowledge, only 238 cases of TAT rupture and 34 cases of CNC are described in the past century.Case Report: A 47-year-old man came with a sudden onset of foot pain including drop foot to our department. We diagnosed a TAT rupture, which was fixed through suture. The pathologist testified degenerative changes in the tendon. In addition, a CNC was diagnosed. No extra treatment was necessary for the CNC. At the 6-year follow-up examination, the patient had no pain and went back to normal day activities (AOFAS 95/100 points).Conclusion: We presume that, in our case, the long-term stress at the TAT through the foot deformity, caused by the CNC, may have supported the tendon rupture. CNC normally is symptom free. Therapy of a painful CNC should start with a conservative therapy. When this fails, an operation can be considered.
KW - Case Reports
U2 - 10.13107/jocr.2250-0685.1182
DO - 10.13107/jocr.2250-0685.1182
M3 - SCORING: Journal article
C2 - 30740363
VL - 8
SP - 3
EP - 6
IS - 5
ER -
