several torn tendons in ankle

In May, I turned my ankle on a small step in a motel room. I was in Europe, have had a history of sprained ankles (played BB in HS), and walked on it for 26 days before seeing a doctor about it.

The following is the MRI report:

Multiplanar/multisequenced MR imaging of the left ankle performed without gadolinium contrast per standard protocol.

FINDINGS: Partial tear/tenosynovitis complex of the peroneal tendon group. Partial tear signal involves the peroneus longus from a level of the distal fibula distally to the arch of the foot. This is most pronounced interposing the distal margin of the fibula and the peroneal tuberale of the calcaneus.

Moderate thickening of the tendon with frayed margins as well as a few focal sites of abnormal edematous internal signal. Despite the abnormality, no retraction of the tendon.
Distal to the tubercle, although difficult to visualize, tendon is felt to possess internal tendinitis signal without evidence of high grade rupture. The peroineus brevis is somewhat more difficult to visualize a few centimeters proximal to the insertion.

The remainder of the course of the tendon felt to be intact with low grade partial tear/tendinitis signal as well.

No significant hematoma within the more proximal peroneal musculature.

The lateral ligaments of the ankle remain dark signal. Mild edematous change involved the anterior talofibular ligament. The anterior/posterior tibiofibular ligaments segmentally visualized and unremarkable.

Tiny focus of fluid within the retrocalcaneal bursa. No significant pre-Archilles fat edema. The Archilles tendon the plantar aponeurosis unremarkable.

At the medial aspect of the ankle, very mild tendosynovitis of the posterior tibialis. The flexor digitorum and the flexor hallucis intact.

No evidence of fracture nor contusion. Visualized musculature unremarkable. A small amount of fluid at the tibiofibular joint. Unremarkable fatt/ligamentous signal of the sinus tarsus.

I have been in a castboot for 1 month. I returned to see him. He said to wear it another month.

He said at that time, we might consider surgery. He thinks probably less than a 50% chance it will heal without surgery. He thinks the surgery is highly likely.

I teach in a little over a month, I would prefer to have as much of the recovery time over as possible.

I have a bunion on that same foot that bothers me. The foot surgeon would do bunion at the same time.

Should I be conservative, or should I just do what is probably inevitable?

Any surgery recovery information would be helpful as well, considering the bunion and ankle. How long in a cast, walking or non, crutches, etc...thanks!

I have been considering things, see another surgeon on July 14th, but can't seem to arrive at a decision!!!

Many thanks! Deb

Posted By Deb on July 05, 2005 at 11:48:38:

The Shin Splint Compression Wrap applies gentle pressure on soft tissue next to the tibia (shin bone), helping prevent additional tearing of the soft tissue away from the tibia. Compression not only reduces additional damage, it alleviates pain and enhances the healing process.

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