Here are some intraoperative photos from an interesting case.
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I thought it was going to be a usual accessory navicular with Posterior Tibial tendon work, but when I pulled on the tendon for examination it popped right out. Apparently it was attached by a very small margin and it didn't take much to detach it from the muscle belly.
I ended up suturing the FDL tendon to the stump and wrapping it in a Graft Jacket Graft.
Steve
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