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Review Question - QID 211121

Lower Extremity Os Os Trigonum Presentation QID: 211121 (SBQ18FA.2)
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QID 211121 (Type "211121" in App Search)
A 23-year-old soccer player with a history of multiple ankle sprains presents with posterolateral ankle pain that has been present for the past 3 months. On physical exam, the patient has pain over the posterolateral ankle with plantar flexion, but no pain is elicited with combined passive dorsiflexion and eversion of the ankle. He denies any numbness or tingling in his foot or sensation of ankle instability. The pain has been managed with rest, physical therapy and intra-articular steroid injection with only marginal improvement. A current MRI is shown in Figures 1 and 2. What is the best next step?
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