Differentiating Between Victims And Culprits: A Case Of Left Ankle Pain

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Differentiating Between Victims And Culprits: A Case Of Left Ankle Pain - Page #3

Lab Studies: No pertinent lab data was obtained. Other Studies: Clinical ultrasound was negative for tenosynovitis of the flexor hallucis longus and flexor digitorum longus tendons, and compression of the posterior tibial nerve. The posterior tibialis tendon demonstrated tenosynovitis <a href="CaseStudyImages/CS1DifferentiatingBe-963.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . There was a posterior malleolus osteophyte impinging into the posterior tibialis tendon <a href="CaseStudyImages/CS2CS1Differentiatin-963.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> . Sonopalpation at this level reproduced pain, and dynamic ankle inversion revealed further impingement. <br> <br>Diagnostic block at this level provided 80% relief. Updated MRI showed split thickness tibialis posterior tendon tear near the osteophyte, and his other prior findings on initial MRI were resolved <a href="CaseStudyImages/CS3CS2CS1Differentia-963.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> . Consultations: Podiatry and Pain Management Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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