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Tarsal–carpal coalition syndrome: importance of early diagnosis
  1. Gloria Tze Yan Lau,
  2. Gayatri Athalye-Jape and
  3. Natasha Amery
  1. Neonatology, King Edward Memorial Hospital, Subiaco, Western Australia, Australia
  1. Correspondence to Dr Gloria Tze Yan Lau, gloria.lau{at}


Tarsal–carpal coalition syndrome is a progressive condition involving synostosis of the wrist, ankle and digits. We describe a mother and her newborn that have this rare inherited condition where the diagnosis was made only after the baby’s birth. The baby’s condition was suspected on antenatal scanning, and he was born with reduced range of motion of his digits, elbows and ankles. The mother’s condition has progressed to involve a fixed flexion deformity of her bilateral elbows, synostoses of her second to fifth digits and extensive coalition of her tarsal and carpal bones. She has required regular osteotomies to improve limb functioning and quality of life.

  • genetics
  • congenital disorders
  • calcium and bone
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  • Contributors GTYL was responsible for writing this article. GA-J had the idea for the article and supervised the overall process. GA-J and NA reviewed and edited the article. All authors approved the final version of the content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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