Presentation
Chronic ankle pain for 1 year. No trauma.
Patient Data
Age: 55 years
Gender: Female
From the case:
Tibialis posterior tenosynovitis
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Transverse

Hypoechoic soft tissue thickening is noted around the tibialis posterior tendon. Local hypervascularity is noted. No tendon tear is noted.
From the case:
Tibialis posterior tenosynovitis

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.