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Surgical Resection of Intermetatarsal Coalition of the Fourth and Fifth Founded in Long Distance Running
Korean J Sports Med 2020;38:55-58
Published online March 1, 2020;
© 2020 The Korean Society of Sports Medicine.

Myung Guk Cho, Samuel Baek, Sun Geun Lee, Chungwon Bang

Department of Orthopaedic Surgery, Armed Forces Chuncheon Hospital, Chuncheon, Korea
Correspondence to: Myung Guk Cho
Department of Orthopaedic Surgery, Armed Forces Chuncheon
Hospital, 57 Banggogae-gil, Chuncheon 24207, Korea
Tel: +82-33-243-0130, Fax: +82-33-244-0130 E-mail:
Received December 27, 2019; Revised February 13, 2020; Accepted February 14, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Intermetatarsal coalition (IC) is very rare; although few cases have been reported in foreign orthopedic journals, these have not originated in our country. We report the case of a 20-year-old man who complained of pain in the left forefoot only during long distance running (3 km). On examination, his foot shape, skin appearance, and gait were normal, with no plantar keratosis; however, the radiograph revealed coalition between the fourth and fifth metatarsals. Surgical excision was performed. In the histopathologic study, fibrous coalition was confirmed. This paper reports an uncommon case involving surgical excision of IC in the military service, involving active sport activity.
Keywords : Congenital, Metatarsal bones, Running, Surgery, Synostosis
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