19-year-old female with medial foot pain that is not responsive to conservative treatment. Evaluate for muscle strain or tendon sprain. Along the anteromedial aspect of the tarsal neck, there is bone marrow edema with adjacent soft tissue edema and synovitis. There is thickening of the anterior tibiofibular ligament likely representing chronic injury. Posterior tibiofibular ligament is intact. Plantar fascia ligament is intact. Fat within the sinus tarsi is preserved. The deltoid and spring ligaments are intact.Mild tendinosis of the posterior tibial tendon is present. The flexor digitorum longus and flexor hallucis longus tendons are within normal limits.
1. Along the anteromedial aspect of the talar neck, there is bone marrow edema possibly secondary to previous direct contusion.2. Thickening of the anterior tibiofibular ligament likely representing a chronic injury. 