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What Does My MRI Scan Report Indicate?
Question: In a previous post I had to you I had stated that I had Peroneal Brevis Tendon tear that had degenerative tears which caused the doctor to attach the tendon to my longus tendon. I had my MRI repeated in Decemeber and will be following up with my Orthopedic Surgeon. The report showed a short segment longitudinal split tear of the peroneus tendon which extends beneath the lateral malleolus which is about 2 cm in the proximal to distal dimension. The calcaneofibular ligament appears thinned. Mild tendinosis of distal Achilles tendon. Plantar and posterior calcaneal enthesophytes are noted. Due to the prior repair, what would be the course of action given the new imaging?
Brief Answer:
Needs 6 to 12 weeks for tendon healing. Evaluation occurs thereafter
Detailed Answer:
Hi there.
Thanks for the query.
Tendon healing takes anywhere between 6 to 12 weeks.
Since the Peroneus brevis tendon was used to reinforce the Peroneus longus, it could appear as a tear on the MRI if the Radiologist wasn't intimated that survey was done in this fashion. Other possibility is that the tendon degeneration is progressing which can be evaluated one adequate time has passed.
You will have to wait and watch for now.
Kindly perform the exercises and physiotherapy as instructed by the surgeon.
Once 8 weeks has elapsed since the surgery, you can be evaluated for success or progressive degeneration.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Needs 6 to 12 weeks for tendon healing. Evaluation occurs thereafter
Detailed Answer:
Hi there.
Thanks for the query.
Tendon healing takes anywhere between 6 to 12 weeks.
Since the Peroneus brevis tendon was used to reinforce the Peroneus longus, it could appear as a tear on the MRI if the Radiologist wasn't intimated that survey was done in this fashion. Other possibility is that the tendon degeneration is progressing which can be evaluated one adequate time has passed.
You will have to wait and watch for now.
Kindly perform the exercises and physiotherapy as instructed by the surgeon.
Once 8 weeks has elapsed since the surgery, you can be evaluated for success or progressive degeneration.
I hope I have answered your query.
I will be available to answer your follow up queries.
Regards,
Dr. Aashish Raghu
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
The surgery that I had on my Peroneal brevis tendon was done in 2012, which had showed degenerative tears. SInce that surgery I have had pain. The new orthopedic surgeon ordered the new MRI. He said if I had new issues with the tendon he will have to do surgery. The longus tendon appears fine on MRI. I have not had surgery yet
Brief Answer:
Arthritis could be the cause of pain. There does not appear to be tendon degeneration
Detailed Answer:
Welcome back to HCM
The Peroneus brevis tendon does not have much of a role to play but rather assists the Peroneus longus in plantar flexing and everting the foot.
Since the Peroneus longus does not show degeneration, it's function needs to be assessed clinically to check the muscle strength.
There are features of arthritis due to the osteophytes which may be the cause of pain. Weight management, warm pack application, limb elevation and walking aids like a boot can help.
Regards
Arthritis could be the cause of pain. There does not appear to be tendon degeneration
Detailed Answer:
Welcome back to HCM
The Peroneus brevis tendon does not have much of a role to play but rather assists the Peroneus longus in plantar flexing and everting the foot.
Since the Peroneus longus does not show degeneration, it's function needs to be assessed clinically to check the muscle strength.
There are features of arthritis due to the osteophytes which may be the cause of pain. Weight management, warm pack application, limb elevation and walking aids like a boot can help.
Regards
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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