Medial foot pain in a runner: a case presentation.
A 27-year-old runner presented to our sports medicine clinic with 4 months of medial foot pain after an eversion ankle sprain. Initial radiographs were negative for fracture. Her symptoms improved but plateaued after 1 month. She was unable to continue running and noticed a new prominence at her right medial foot. Results of a physical examination showed pes planus, a prominent navicular in her right foot and mild weakness of inversion at the right ankle. Magnetic resonance imaging showed bone edema adjacent to a navicular synchondrosis, which confirmed a diagnosis of type 2 accessory navicular with synchondrosis injury. The patient was treated conservatively with a progressive rehabilitation course.
Department of Orthopedics and Sports Medicine; Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Box 359612, Seattle, WA 98104(∗). Electronic address: levikm@uw.edu.
Levi K
LK
Miller
Mark A
MA
Harrast
D000328:Adult; D016512:Ankle Injuries / Q000150:complications* / Q000175:diagnosis; D000843:Ankle Joint / Q000473:pathology*; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005534:Foot Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D012420:Running / Q000293:injuries*; D013639:Tarsal Bones / Q000002:abnormalities*