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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My MRI Report Suggest?

Resut of MRI after 3 weeks of injury Results Procedure: MRI ankle without contrast Indication: foot and ankle pain for 2 weeks .slipped and fell on ice. Findings: MRI of the ankle demonstrates thickening and signal in the region of the anteroinferior tibiofibular ligament suggesting syndesmotic or high ankle sprain. Suspect disruption. Posterior tibiofibular is intact. A few axial images raise the question of 1 or 2 mm ossicle near the tibia attachment of this structure and tiny avulsion fracture is possible. Plain film or CT would be better for confirming this if necessary. Other lateral collateral ligaments including both talofibular ligaments and the calcaneofibular ligament appear intact . Deltoid ligament appears intact . No fracture of the distal tibia or fibula. 2-3 mm bone island seen in the distal tibia. Talar dome and remaining talus are unremarkable. Calcaneus is normal. Calcaneus, cuboid, and cuneiform are unremarkable. There is mild thickening of the Achilles tendon with convexity of the ventral surface suggesting mild tendinosis. No significant intratendinous signal, however. No surrounding abnormal signal. No evidence for partial tear. A fusion is seen at the tibiotalar joint. subtalar join are unremarkable. Posteromedial flexor tendons are intact. Extension tendons are unremarkable. Proneal tendons are intact. impression: Evidence for high ankle sprain. Correlation with symptoms on examination is recommended Do I need to see a specialist Thanks i
Mon, 28 Nov 2016
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Orthopaedic Surgeon 's  Response
Hi
You may get it confirmed for if it's complete tear or not.complete tear may require surgical repair.if partial tear, a plaster cast for 3 weeks followed by ankle brace for another 3 weeks shall heal .As of now avoid standing,walking without protection.
Take advil tabs for 5 days twice a day,apply voltaren gel and wear ankle brace
Best wishes
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What Does My MRI Report Suggest?

Hi You may get it confirmed for if it s complete tear or not.complete tear may require surgical repair.if partial tear, a plaster cast for 3 weeks followed by ankle brace for another 3 weeks shall heal .As of now avoid standing,walking without protection. Take advil tabs for 5 days twice a day,apply voltaren gel and wear ankle brace Best wishes