11-year-old female with 4 months of non improving medial midfoot pain and difficulty flexing toes. Evaluate for midfoot ligamentous tear or flexor tendon tear TENDONS: The flexor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is normal in appearance. There is a small amount of fluid along the tibialis anterior and extensor hallucis longus tendons, anterior to the ankle joint, which is atypical but of questionable significance in this patient.LIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The visualized components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is mild focal edema within the dorsal aspect of the navicular tuberosity which is nonspecific and may represent a mild enthesitis, although the adjacent posterior tibialis tendon appears normal. The bone marrow signal intensity elsewhere appears normal. The Lisfranc articulation and ligament appear normal. No osteochondral defect is identified.ADDITIONAL
1. Mild focal edema within the navicular tuberosity is nonspecific and may represent a resolving contusion or perhaps an enthesitis at the posterior tibialis insertion, but the tendon appears normal.2. Small amount of fluid along the tibialis anterior and extensor hallucis longus tendons is atypical but of questionable clinical significance.