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What Does My MRI Scan Report Indicate?

Posted on Thu, 24 Aug 2017

Question: My 14 year old daughter had an MRI recently after an Irish dancing injury 3 months ago that has not healed. She is now suffering from a complete flat foot with too many toes sign and cannot get up on her toes. Pain in bottom of foot in ankle and back of lower leg. Her MRI report stated everything looked normal but after doing some research and comparison I noticed that something looked different with her Flexor Hallucis Longus Tendon. I have included images from her MRI. It looks to me like she had an accessory muscle and tendon just behind the FHL or there is a problem with that tendon. If this is an accessory muscle can it cause the problems I've described ?

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Posterior tibialis tendon dysfunction

Detailed Answer:
Hi there

Thanks for the query

Usually in flat foot there is a problem with the Posterior tibialis tendon.

Due to the dysfunction of Posterior tibialis tendon the foot arch becomes flat and forms the 'too many toes' sign.

Usually Flexor hallucis is not directly related to flat foot problems.

I hope I have answered your query.

I will be available to answer your follow up queries.

Thanks and regards.

Dr.Aashish Raghu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (19 hours later)

Is this an accessory muscle and tendon in her MRI or a problem with the FHL tendon ? Sitting behind the nerve bundle. It's definitely separate from the FHL? Ive attached the image.

Answered by Dr. Aashish Raghu (4 hours later)

Brief Answer:
Please attach other images

Detailed Answer:
Please attach the other scans if possible because the arrow mark pointed in the scan that you have attached isn't indicative of anything wrong with the Anatomy.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad