Incidence of post tib rupture associated with accessory ossicle or inter-tendon calcification?

Hi friends, I have recently had a patient referred to me from a doctor with what appears to be post tib irritation or early stage dysfunction. As an incidental finding (or perhaps not) from the ultrasound, there appears to be an inter-tendon calcification or ossicle. It’s location is unusual in regards to it’s not in the normal position for an os navicularae close the the insertion, rather it’s more proximal

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Incidence of post tib rupture associated with accessory ossicle or inter-tendon calcification?

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