Sore ankle

[Dachet]

I have recently had an MRI for chronic ankle pain which I have had for a number of years. I will not be seeing the specialist with the results for a couple of weeks, however he did indicate - as the result of physical inspection that surgery would probably be a reality.
The following are the results and I was wondering what the significance of the findings are and also, if surgery is likely would the recovery involve non-weight bearing plaster and for what time frame.
-gross attenuation of anterior talofibular ligament -increased signal in posterior talofibular ligament -attenuated anterior distal tibiofibular ligament -attenuation of po longus tendon at this sterior distal tibiofibular ligament with fluid in thr distal tibiofibular joint - thinning of articular cartilage in tibiotalar joint - subchondral marrow oedema involving medial talar dome - increased signal within superficial component of deltoid ligament - old strain injury of deep fibres of this ligament - minor oedema within the sinus tarsi - fluid surrounding peroneal tendons just distal to the lateral malleolus with minor increased signal in the peroneus at this site - mild degenerative joint changes at the talonavicular -old rupture of anterior talofibular ligament with old strain injuries of the posterior talofibular ligament and posterior distal tibiofibular ligament and deltoid ligament. there is a tenosynovitis involving peroneal tendons just distal to lateral malleolus. there is an old osteochondral impaction injury to the talar dome.
- i am a fifty year old female.

[Dachet]

Thankyou. These injuries are years old and the pain has been with me for a number of years with the instability increasing dramatically over the past weeks.

[S. Kaul, MD]

Hi there!

The report describes diffuse degenerative changes around the ankle joint with strain injuries to the deltoid and talofibular ligaments. An initial trial of conservative managed with rest/ non-weight bearing and anti-inflammatory medications followed by physiotherapy may be considered before considering surgical options. I would suggest discussing the situation, the suggested management plan and the expected prognosis in detail with your treating orthopedician.
Hope this is helpful.

Take care!