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Please Analyses My MRI For John's Foot Issue
Question:
You have responded to my query for John's foot on Aug 29, really appreciate! In your response, you suggested to do further MRI. XXXXXXX actually has had MRI done as well so I'm attaching his MRI photos and reports. Appreciate if you could review and et us know any further thoughts on what could be the next step for XXXXXXX for your easy reference. I have pasted my original questions and your Aug 29 responses below.
healthy 15 year old athletic boy. He has limited lateral movement on his left ankle and this causes him pain/discomfort when playing soccer. While he does not intend to become a professional athlete, he loves playing soccer at a reasonable competitive level and finds this increasingly challenging. He recently had his left ankle X rayed. Question: should he have his ankle operated on - with a view to correcting the coalesced (is it?) bone - or not? Will the issue correct itself? If not, do the risks associated with surgery outweigh the potential benefit?
Thanks for the query. I have read your query and attached report. X-ray mentions that there is no coalition which is abnormal fusion of foot bones that can cause frequent ankle sprains.
However if the abnormal fusion is not bone but rather cartilage or fibrous connection then it cannot be spotted on an X-ray. I suggest getting an MRI of the foot as this can spot coalition if it’s fibrous or cartilage fusion.
I hope I have answered your query. I will be available to answer your follow up queries.
Thanking you.
You have responded to my query for John's foot on Aug 29, really appreciate! In your response, you suggested to do further MRI. XXXXXXX actually has had MRI done as well so I'm attaching his MRI photos and reports. Appreciate if you could review and et us know any further thoughts on what could be the next step for XXXXXXX for your easy reference. I have pasted my original questions and your Aug 29 responses below.
healthy 15 year old athletic boy. He has limited lateral movement on his left ankle and this causes him pain/discomfort when playing soccer. While he does not intend to become a professional athlete, he loves playing soccer at a reasonable competitive level and finds this increasingly challenging. He recently had his left ankle X rayed. Question: should he have his ankle operated on - with a view to correcting the coalesced (is it?) bone - or not? Will the issue correct itself? If not, do the risks associated with surgery outweigh the potential benefit?
Thanks for the query. I have read your query and attached report. X-ray mentions that there is no coalition which is abnormal fusion of foot bones that can cause frequent ankle sprains.
However if the abnormal fusion is not bone but rather cartilage or fibrous connection then it cannot be spotted on an X-ray. I suggest getting an MRI of the foot as this can spot coalition if it’s fibrous or cartilage fusion.
I hope I have answered your query. I will be available to answer your follow up queries.
Thanking you.
Brief Answer:
Answer
Detailed Answer:
Hi,
As suspected he does have a coalition. The initial treatment would be using orthotic custom made footwear or footwear inserts to help correct the arch. Physiotherapy to strengthen the Tibiakis posterior muscle and peroneal muscles are important.
If these conservative measures don’t work then he may need surgery to remove that fibrous coalition.
Thanks.
Answer
Detailed Answer:
Hi,
As suspected he does have a coalition. The initial treatment would be using orthotic custom made footwear or footwear inserts to help correct the arch. Physiotherapy to strengthen the Tibiakis posterior muscle and peroneal muscles are important.
If these conservative measures don’t work then he may need surgery to remove that fibrous coalition.
Thanks.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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