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Tibialis posterior tenosynovitis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Chronic ankle pain for 1 year. No trauma.

Patient Data

Age: 55 years
Gender: Female
ultrasound

Hypoechoic soft tissue thickening is noted around the tibialis posterior tendon. Local hypervascularity is noted. No tendon tear is noted.

x-ray

Soft tissue swelling is noted along the medial aspect of the ankle.

Local new bone formation is noted along the tibial cortex.

Case Discussion

Tibialis posterior tenosynovitis diagnosed 6 months back using MRI.

Pathology is still present.

Additionally, there is new bone formation from tibia due to chronic irritation. No osteomyelitis.

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