Tarsal coalitions have been reported to occur in the setting of clubfeet, but only as rare isolated findings. Other varus foot deformities have a known association with tarsal coalition, such as calcaneonavicular coalitions with spastic pes varus. The purpose of this paper was to report a two-institution count on the number of tarsal coalitions seen in congenital and neurogenic clubfeet, to report the break-down of types of coalitions encountered, and to suggest methodology to improve earlier diagnoses.