Tarsal coalition typically involves the talo-calcaneal and calcaneo-navicular joints and is an important cause of rigid or peroneal flatfoot. We present a rare case of isolated navicular-medial cuneiform non-osseous coalition presenting as post-traumatic medial foot pain. A 12-year-old girl presented with progressively worsening pain on the medial side of her right mid-foot for 6 months. Initial imaging with lateral and anteroposterior radiographs of the foot is a useful approach to screen for tarsal coalition.
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