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Baghla DPS et al. – CT and MRI scans confirmed a large accessory calcaneal ossicle lying within the sinus tarsi, with associated marrow oedema. Following surgical excision of the ossicle, the foot returned to its original shape and the symptoms were alleviated. This is the fifth reported case of an accessory calcaneal ossicle, but the only case that has occurred in a flatfooted individual. The authors also present the first reported MRI images of the lesion confirming pathological marrow oedema as a response to mechanical stress.

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