Posterior tibial (PT) tendon entrapment and superior peroneal retinaculum injuries are among the most common soft tissue injuries to occur in the setting of rearfoot and ankle trauma. Unfortunately, these injuries may go unidentified in the acute setting, leading to the potential need for additional surgical intervention and worse patient outcomes. Two such cases are presented in this paper with the purpose of bringing awareness to the frequency of these injuries and to provide imaging examples to aid the clinician in making the initial diagnosis.

Tibial sesamoidectomy is frequently the treatment of choice for different tibial sesamoid pathologies when non-surgical treatment fails. However, surgery is not without postoperative complications, such as hallux abducto valgus (HAV) deformity. Currently, there is a paucity of research regarding isolated tibial sesamoidectomy and its complications. The purpose of this paper is to present two cases of isolated tibial sesamoidectomy, a brief description of surgical technique, an anatomic and functional description of hallux sesamoids, and an updated literature review on isolated tibial sesamoidectomy.