Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

• One major ligament on the outside of your ankle is completely torn.
• A major ligament on the inside of your ankle is almost completely torn.
• There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
• Your ankle joint has a lot of swelling/fluid and inflammation.
• The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

• Complete tear of the anterior talofibular ligament (ATFL).
• High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
• Sprain of the spring ligament, without a definite tear.
• Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
• Large joint effusion with synovitis.

Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

• One major ligament on the outside of your ankle is completely torn.
• A major ligament on the inside of your ankle is almost completely torn.
• There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
• Your ankle joint has a lot of swelling/fluid and inflammation.
• The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

• Complete tear of the anterior talofibular ligament (ATFL).
• High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
• Sprain of the spring ligament, without a definite tear.
• Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
• Large joint effusion with synovitis.

Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

• One major ligament on the outside of your ankle is completely torn.
• A major ligament on the inside of your ankle is almost completely torn.
• There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
• Your ankle joint has a lot of swelling/fluid and inflammation.
• The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

• Complete tear of the anterior talofibular ligament (ATFL).
• High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
• Sprain of the spring ligament, without a definite tear.
• Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
• Large joint effusion with synovitis.

Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

• One major ligament on the outside of your ankle is completely torn.
• A major ligament on the inside of your ankle is almost completely torn.
• There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
• Your ankle joint has a lot of swelling/fluid and inflammation.
• The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

• Complete tear of the anterior talofibular ligament (ATFL).
• High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
• Sprain of the spring ligament, without a definite tear.
• Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
• Large joint effusion with synovitis.