MRI results

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i posted previously about my ankle sprain and have been waiting for an MRI.  I got my results today but I don't see my specialist until the 20th and I was wondering if anyone had anything similar and could explain it in easier terms lol

FINDINGS: A small ankle effusion is seen. No osteochondral lesions or intraarticular bodies are noted.

Joint effusion is seen in the posterior subtalar joint. It contains scattered septations, but shows no osteochondral lesions or intraarticular bodies.

Tears of the anterior and posterior tibiofibular and syndesmotic ligaments are seen. In addition, there is subacute tear of the calcaneofibular ligament associated with adjacent soft tissue thickening and edema. There is a partial tear of the anterior talofibular ligament. This structure is irregular in contour and shows central intermediate signal change. Partial tear of the superficial band of the deltoid ligament is seen as indicated by hyperintensity and loss of fibre definition. The remaining ligamentous structures are intact.

The tendinous anatomy, with particular interest in the peroneal complex is unremarkable.

There is a corticated calcific lesion at the tip of the fibula. It measures 7 x 3mm in transverse dimension. It abuts a crescentic defect in the distal fibula which is well corticated. Moreover, there is a mild degree of subcortical hyperintense edema signal along the posterolateral margin of the distal fibula. The presentation may be the result of so-called os subfibulare or could indicate site of remote injury. The edema may be reactive in nature, but could reflect contusion in view of the recent injury.

Neurovascular structures are intact. 

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  • Posted

    Contents of the sinus tarsi are acceptable. Plantar anatomy is unremarkable.

    OPINION: The study displays the presence of subacute tear of the calcaneofibular ligament.

    Multiple additional ligamentous tears are also identified including the anterior and posterior tibiofibular, and syndesmotic ligaments. Partial tears of the anterior talofibular and deltoid ligament are also identified.

    Tendinous structures are intact.

    The lesion at the tip of the fibula is considered to be chronic in nature. It may represent an os subfibulare or possibly site of remote injury. Subjacent edema within the distal fibula could be reactive in nature or may reflect contusion from recent injury. 

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  • Posted

    Misty, what is the diagnosis and is surgery recommended?
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    • Posted

      I haven't seen my specialist yet to see what he thinks. I was just told 10 weeks ago I had a severe ankle sprain and have been doing physio 3x a week (I swear it made it worse). Because it wasn't getting better I was referred to the specialist and he requested an mri, the mri office just emailed me the results this morning and of course I don't really understand a lot of it...other than I tore a lot of ligaments in my ankle lol. I was just hoping someone maybe had similar findings previously and could explain what it all means...I will be seeing my specialist, it's just hard to wait smile

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  • Posted

    Only your orthopedic podiatrist can answer your questions.

    How would you know if my answer to your question was correct? How do you know if I have enough education to make this decision?

    Medicine is a very organized science. You seriously sprained your ankle. Some sprains take longer to heal than a fracture takes to heal.

    Perhaps you will Google ankle structure, bones, ligaments, and tendons and study the drawings. This will show you how difficult it is to explain to someone who has not yet studied anatomy.

    I hope the next eight days go by quickly for you. Have you an activity you are anxious to return to.

    kind regards

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