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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(04): 555-559
DOI: 10.1055/s-0043-1769472
Case Report

Accessory Tibionavicular Muscle: An Unusual Cause of Medial Ankle Pain

Karthikeyan P. Iyengar 
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
,
Gaurav Kant Sharma
2   Department of Radiodiagnosis, Jaipur Institute of Pain and Sports Injuries, Jaipur, Rajasthan, India
,
Rajesh Botchu 
3   Department of Muscoloskeletal Radiology, Royal Orthopedic Hospital, Birmingham, United Kingdom
› Author Affiliations Funding None.
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Abstract

Accessory 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.

Keywords

ankle - accessory muscles - ultrasound - magnetic resonance imaging - platelet-rich plasma - dry needling


Publication History

Article published online:
01 June 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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