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Talo-Navicular Coalition

Published October 25, 2015

A union in the midfoot between the talus bone and the navicular bone usually found between the ages of three to five is called a talo-navicular coalition.  It can cause discomfort due to the lack of motion in the joint.  On X-ray there is typically a "beaking sign" found near the joint, as illustrated below:


Treatment usually begins conservatively with custom orthotics and bracing.  Surgical approaches include reducing the rigidity in the joint by removing bone to restore motion to the joint.

If your son or daughter suffers from foot pain please contact Progressive Foot Care for our doctors to evaluate your child.


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