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Updated: May 7, 2026
08:26
Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
Medial foot pain in a runner: a case presentation
Levi K Miller1, Mark A Harrast
1Department of Orthopedics and Sports Medicine; Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Box 359612, Seattle, WA 98104(∗).
PM & R : the Journal of Injury, Function, and Rehabilitation
|September 24, 2013
Summary
A runner experienced medial foot pain after an ankle sprain, diagnosed as type 2 accessory navicular with synchondrosis injury. Conservative rehabilitation was initiated for this sports injury.
Area of Science:
- Sports Medicine
- Orthopedics
- Radiology
Background:
- Medial foot pain is a common complaint in runners, often linked to biomechanical factors.
- Ankle sprains can lead to complex foot and ankle pathologies.
- Accessory naviculars are congenital anomalies that can become symptomatic.
Observation:
- A 27-year-old runner presented with persistent medial foot pain and a new prominence post-eversion ankle sprain.
- Physical examination revealed pes planus, a prominent navicular, and ankle inversion weakness.
- Radiographs were initially negative for fracture.
Findings:
- Magnetic resonance imaging confirmed a type 2 accessory navicular with an associated synchondrosis injury.
- The injury was adjacent to the navicular synchondrosis, indicating stress or trauma to this area.
Implications:
- This case highlights the importance of considering accessory navicular bone injuries in athletes with persistent foot pain after ankle trauma.
- Conservative management, including progressive rehabilitation, can be effective for type 2 accessory navicular with synchondrosis injuries.
- Accurate diagnosis via MRI is crucial for guiding appropriate treatment strategies in sports-related foot injuries.
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