Some children with tarsal coalition will experience no symptoms during childhood, but may develop symptoms or pain later in life. Your child’s pediatrician may be the first to suspect your child has tarsal coalition.
The bones most often involved in tarsal coalition are the calcaneus (heel bone), the talus, which connects the ankle to the foot, and navicular bones, which form the top of the foot at the base of the ankle.
When surgically treating a child with a tarsal coalition it is important to remember that unlike in trauma, where one is restoring anatomy to a previous uninjured state, here one is dealing with articulations which have never been entirely normal.