Asian Journal of Medical Principles and Clinical Practice

Abstract

Introduction: Talonavicular Arthritis is a condition in which (talonavicular joint undergoes deform) arthritis occurs in the talonavicular joint leading to joint inflammation and severe pain. Talonavicular arthritis can be caused by the conditions involving cartilage damage.some of the etiologies of talonavicular arthritis includes congenital (clubfoot, talocalcaneal and calcaneal -scaphoid coalitions), post traumatic (scaphoid fractures, chopart fractures-luxation, talus fractures etc). The symptoms of talonavicular arthritis includes swelling,pain and stiffness. The early diagnosis is most important to identify joint injury by X-rays,CT scans, MRI. Medical treatment for talonavicular arthritis includes analgesics and NSAID’s. Surgical procedures like arthrodesis can be performed when medical treatment  fail to improve the conditions.

Case Presentation: The patient was 64 years old male patient who has classical presentation of talonavicular arthritis .He had complained of pain in the left foot and pain on weight bearing  since a fall  6 years back.Patient had a history of fall from bike which caused traumatic injury and lead to Talonavicular Arthritis. Radiographs and Computed Tomography (CT) scans revealed Arthritis of talonavicular bone MRI revealed the mild arthritic change in talonavicuar joint .Patient have been advised to undergone arthrodesis of  talonavicular jont.

Conclusion: Talonavicular arthrodesis is one of the most effective procedures for the treatment of traumatic talonavicular arthritis by providing the functional improvement and by reducing the pain.