Foreign body induced tibialis posterior tenosynovitis
Penetrating injury by thorn - medial malleolar region - 9 days. C/o local swelling - Pain. USG to rule out Foreign body.
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A linear echogenic focus is noted embedded within tibialis posterior tendon sheath.
Size - 3.4 mm - Foreign body.
Foreign body is about 2 cm above the level of medial malleolus
Posterior tibial tendon is intact.
No partial or full thickness tear is noted.
Fluid with synovial thickening is noted in tendon sheath above and below level of medial malleolus.
Hypervascularity is noted in sheath.
Local subcutaneous odema is noted.
Foreign body ( thorn ) induced Tensynovitis tibialis posterior tendon.