Removal of an Unusual Pedal Ossicle in an Elite Distance Runner: A Case Report

A 24-year-old female national champion 5000-meter runner presented with an approximately 1-year duration of left foot pain localized to the medial arch. She had received multiple diagnoses and had undergone many different treatments, all of which had failed to relieve her symptoms. Careful review of her radiographic studies revealed an unusual ossicle in the region of her symptoms. Surgical excision of the not previously described ossicle localized within the posterior tibial tendon distal to the navicular adjacent to the first cuneiform resulted in complete resolution of the patient's longstanding symptoms, and allowed her to return to competition at an elite level. Level of Clinical Evidence: 4