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Scholars Journal of Medical Case Reports | Volume-14 | Issue-05
Symptomatic Type II Accessory Navicular Associated with Posterior Tibial and Medial Flexor Tendinopathy in a Young Adult: MRI Findings
O. Fahir, I. Kazouini, M. Mekouar, Y. Bouktib, A. Elhajjami, B. Boutakiout, M. Ouali Idrissi, N. Cherif Idrissi.
Published: May 25, 2026 | 25 17
DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.082
Pages: 1206-1208
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Abstract
Accessory navicular type II is the most frequently symptomatic variant of accessory navicular bones due to its fibrocartilaginous synchondrosis with the native navicular tuberosity and its relationship with the posterior tibial tendon insertion. We report the case of a 28-year-old patient presenting with medial foot pain. MRI demonstrated a type II accessory navicular associated with posterior tibial tendon tendinopathy and associated inflammatory involvement of the flexor hallucis longus and flexor digitorum longus tendons. MRI plays a key role in identifying synchondrosis stress and associated tendon abnormalities guiding therapeutic management.