Accessory Tibionavicular Muscle: An Unusual Cause of Medial Ankle Pain

Author:

Iyengar Karthikeyan P.12ORCID,Sharma Gaurav Kant2,Botchu Rajesh3ORCID

Affiliation:

1. Department of Orthopedics, Southport and Ormskirk NHS Trust, Southport, United Kingdom

2. Department of Radiodiagnosis, Jaipur Institute of Pain and Sports Injuries, Jaipur, Rajasthan, India

3. Department of Muscoloskeletal Radiology, Royal Orthopedic Hospital, Birmingham, United Kingdom

Abstract

AbstractAccessory or anomalous muscles around the ankle are not uncommon and are usually asymptomatic. They are traditionally encountered during imaging undertaken for evaluation of ankle pain. We reported the first case of a new accessory muscle in the anteromedial part of the ankle with associated partial thickness tear in an 18-year-old football player presenting as symptomatic pathology. In this article, we described the role of cross-sectional imaging in its diagnosis including successful management of the condition with ultrasound-guided platelet-rich plasma therapy and review-associated literature.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

Reference17 articles.

1. Accessory muscles: anatomy, symptoms, and radiologic evaluation;P A Sookur;Radiographics,2008

2. Normal variants: accessory muscles about the ankle;Y Cheung;Magn Reson Imaging Clin N Am,2017

3. A rare case of flexor digitorum accessorius longus muscle presenting as tarsal tunnel syndrome;H Ettehadi;Arch Bone Jt Surg,2022

4. Accessory muscles around the foot and ankle presenting as chronic undiagnosed pain. An illustrative case report and review of the literature;S Al-Himdani;Foot,2013

5. Magnetic resonance diagnosis of tarsal tunnel syndrome due to flexor digitorum accessorius longus and peroneocalcaneus internus muscles;A M Duran-Stanton;J Comput Assist Tomogr,2010

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