I have a colleague who has recently sustained the following injury. What is the recommended surgical / non surgical treatments available?
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CLINICAL HISTORY: inversion injury two months ago
REPORT:
RIGHT ANKLE ULTRASOUND
There is evidence of fluid beneath the anterior talofibular ligament, as well as almost complete loss of definition of the anterior talofibular ligament with no definite remaining fibres seen. The left side had a comparatively normal appearance.
The peroneal tendons as well as the anterior compartment tendons have normal appearances.
RIGHT ANKLE CT
Anon contract MD CT was acquired through the right ankle. Multiplanar and high resolution reformatted images were generated.
There is evidence of some thickening of the anterior talofibular ligament corresponding to the change seen on the recent ultrasound. No associated fracture is seen. There is normal bony alignment. The ankle mortise appears preserved. No degenerative changes are seen.
CONCLUSION
The changes on the ultrasound are consistent with the significant tear of the anterior talofibular ligament. No associated fracture is seen.
Examination Date: 27/7/2007
XRAY RIGHT FOOT
There is normal boney alignment. No fracture or dislocation is seen. There are significant degenerative changes involving the great toe MTPJ.
Examination Date: 6/6/2007
XRAY RIGHT FOOT Morning after I fell over.
No broken bones shown.
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