Nievergelt-Pearlman Syndrome and Treatment

What is Nievergelt-Pearlman Syndrome?

Described first in 1944 by Nievergelt, Nievergelt-Pearlman Syndrome is multiple or massive tarsal coalition which is part of a more complex syndrome occurring in both sexes in 3 successive generations generations in a family.




Nievergelt-Pearlman Syndrome consists of:

  • Hearing impairment
  • Elbow dysplasia with radioulnar synostosis and subluxation of radial head
  • Dysplasia of tibia and fibula with fibula remaining longer
  • Tarsal bone synostosis (bones joining together)



How is Nievergelt-Pearlman Syndrome Treated?

There are no cures for this condition.

Surgery may be needed to correct structural deformity.

Accommodation of the deformity or supporting the foot is recommended using orthotics.

Off-loading the ball of the foot using metatarsal cushion / gel.






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Related Articles:

Tarsal Coalition – Presentation and Treatment | Bone and …

Tarsal coalition is estimated to affect 1% people and has a significant male predilection. The stiffness and stress that tarsal coalitions produce may lead to arthritis over time. Fibular hemimelia, Nievergelt-Pearlman syndrome, …

Nievergelt-Pearlman Syndrome

Nievergelt-Pearlman Syndrome



McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, 3rd Edition, pg. 997-998