{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:36:54Z","timestamp":1792013814761,"version":"4.4.0"},"reference-count":13,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,20]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Tarsal coalition is an uncommon cause of insidious-onset foot pain typically affecting adolescents. Cuboid-navicular coalitions are among the rarest variety, comprising less than 1% of all tarsal coalitions. This case report describes a female competitive gymnast in middle childhood with a 6-month history of worsening insidious onset right foot pain that forced withdrawal from all sporting activities. The patient reported a background of intermittent foot pain and bilateral ankle instability over the past 2 years. A comprehensive history and physical examination, alongside MRI, enabled the diagnosis of a fibro-osseous cuboid-navicular coalition. Through early diagnosis, a targeted and prompt trial of non-operative management was implemented, consisting of physiotherapy, a deloading protocol, orthotics and analgesia. At 6-month follow-up, this led to improvements in pain symptoms and functional outcomes as well as a return to competitive sport. Early recognition of cuboid-navicular coalition is essential to prevent early degenerative joint disease.<\/jats:p>","DOI":"10.1136\/bcr-2024-261864","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T12:05:31Z","timestamp":1725105931000},"page":"e261864","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Cuboid-navicular coalition in a female junior athlete"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-3081","authenticated-orcid":false,"given":"Alexander Henry","family":"Seeto","sequence":"first","affiliation":[{"name":"Queensland Health, Brisbane, Queensland, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Southport, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Brown","sequence":"additional","affiliation":[{"name":"Faculty of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Daniel","family":"Wilson","sequence":"additional","affiliation":[{"name":"Sunshine Coast Orthopaedic Group, Birtinya, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,8,31]]},"reference":[{"key":"2025082710310732000_17.8.e261864.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2008.09.005"},{"key":"2025082710310732000_17.8.e261864.2","article-title":"The rare cuboid-navicular coalition presenting as chronic foot pain","volume":"2015","author":"Awan","year":"2015","journal-title":"Case Rep Radiol"},{"key":"2025082710310732000_17.8.e261864.3","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/BCO.0000000000000353","article-title":"Cuboid-navicular coalition in pediatrics: a systematic review and report","volume":"27","author":"Worsham","year":"2016","journal-title":"Curr Orthop Pract"},{"key":"2025082710310732000_17.8.e261864.4","doi-asserted-by":"crossref","first-page":"289","DOI":"10.4321\/S1137-66272011000200014","article-title":"Cuboid-navicular tarsal coalition in an athlete","volume":"34","author":"Garc\u00eda-Mata","year":"2011","journal-title":"An Sist Sanit Navar"},{"key":"2025082710310732000_17.8.e261864.5","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.CC.O.00002","article-title":"Cuboid-Navicular Tarsal Coalition in an Adolescent Female Athlete: A Case Report","volume":"5","author":"Kamiya","year":"2015","journal-title":"JBJS Case Connect"},{"key":"2025082710310732000_17.8.e261864.6","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1053\/j.jfas.2012.07.003","article-title":"Cuboid-navicular tarsal coalition: report of a small case series with description of a surgical approach for resection","volume":"51","author":"Sarage","year":"2012","journal-title":"J Foot Ankle Surg"},{"key":"2025082710310732000_17.8.e261864.7","first-page":"3","article-title":"Rare Combination of a Cuboid-navicular Tarsal Coalition with a Closed Tibialis Anterior Tendon Rupture: A Case Report and Review of the Literature","volume":"8","author":"Berger-Groch","year":"2018","journal-title":"J Orthop Case Rep"},{"key":"2025082710310732000_17.8.e261864.8","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1249\/JSR.0000000000000533","article-title":"Returning to Sport After Gymnastics Injuries","volume":"17","author":"Sweeney","year":"2018","journal-title":"Curr Sports Med Rep"},{"key":"2025082710310732000_17.8.e261864.9","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/BPO.0b013e3181aa24c0","article-title":"Calcaneonavicular coalition: treatment by excision and fat graft","volume":"29","author":"Mubarak","year":"2009","journal-title":"J Pediatr Orthop"},{"key":"2025082710310732000_17.8.e261864.10","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1111\/j.1445-2197.1992.tb07240.x","article-title":"Cubonavicular coalition: an unusual cause of peroneal spastic flat foot","volume":"62","author":"Williamson","year":"1992","journal-title":"Aust N Z J Surg"},{"key":"2025082710310732000_17.8.e261864.11","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1177\/107110070502600314","article-title":"Cuboid-navicular tarsal coalition -- presentation and treatment: a case report and review of the literature","volume":"26","author":"Johnson","year":"2005","journal-title":"Foot Ankle Int"},{"key":"2025082710310732000_17.8.e261864.12","doi-asserted-by":"crossref","unstructured":"Catanzano AA , Akoh CC , Easley ME , et al . Decision-Making and Management of Tarsal Coalition in the Young Adult Patient: A Critical Analysis Review. JBJS Rev 2023;11. doi:10.2106\/JBJS.RVW.23.00021","DOI":"10.2106\/JBJS.RVW.23.00021"},{"key":"2025082710310732000_17.8.e261864.13","first-page":"8850768","article-title":"Complete Cubonavicular Coalition Associated with Midfoot Osteoarthritis","volume":"2020","author":"Kummer","year":"2020","journal-title":"Case Rep Orthop"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261864","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:31:17Z","timestamp":1756315877000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":13,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,31]]},"published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1136\/bcr-2024-261864"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261864","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}