Right Ankle Sprain

[Canuck Physio]

I recently had a cortico-steroid injection which decreased swelling but did not improve range of motion or pain.

After spending months walking on my toes and persevering associated muscle atrophy, I believe I have it figured out. I hope to run my strong suspicion passed you guys.

I suspect a meniscoid lesion in the anterior/anteromedial area of the joint. This is causing pain, swelling and restricted ROM. My biggest question is, I wonder if it is possible to miss such a lesion on MR radiography?

Hello,

if this is the case, then it would be necessary to complete surgery. However, it would be difficult to make a diagnosis over the web with minimal results. Has someone actually palpated and confirmed this.

Probably best to see a specialist and mention this to them.

[dibblego]

Thanks. I am seeing another surgeon on Thursday 11 December. I just hope this nightmare is over soon. Thanks for the help from everyone and I'll post an update if one becomes available.

[dibblego]

An anteromedial lesion was found on arthroscopy. It was "the size of a finger" according to the surgeon. I still have the original (prior to any surgery) minor complaint of anterolateral impingement. I'm hoping this can be assisted by ultrasound-guided steroid injection and will pursue this course of treatment.

I have lost complete trust of the medical establishment and plan to self-diagnose conditions in the future, since while I am utterly incompetent, I have a higher strike rate (1/1) than doctors (1/5).

Thanks for the advice from you guys and I'll post any updates.

[rugby18]

I recently fractured my fibula and ruptured the AFTL and the syndesmosis. I went to hospital on the day that i was injured (15th of November) and was told to return on the 17th, on that day i was diagnosed with a weber c3 ankle fracture had surgery to fix a syndesmosis screw through the tibia and fibula and a plate fixed onto the break. After the ORIF surgery i was put into a back slab cast on the 17th untill the 1st of December.. I have since been since been in a non weight bearing cast. I was firstly wondering what the long term ramifications would be if any and also how soon would i be fit to play rugby(the doctors seem to stray away from answering this question when asked). Also would a patient normally be put into another cast after having the non weight bearing cast removed or would they be given some sort of support brace. Finally how long is a patient typically on crutches for after sustaining a pretty severe ligament damage injury such as mine. thanks very much.