r/Ankle•
Decent-Point309

7 weeks post sprain. MRI results in. ATFL and CFL injury with incomplete scar remodeling. Surgery likely?

7 weeks post sprain. Swelling still present but considerably less. Per the MRI:

  1. ATFL and CFL injury with incomplete scar remodeling.
  2. Osseous contusions in the talus and sustentaculum tali. More localized marrow edema at the posterior lateral talar dome is likely also a contusion however could represent developing osteochondral lesion.
  3. Deltoid ligament sprain with incomplete scar remodeling.
  4. Peroneus brevis split tear at the retromalleolar groove with peroneal tenosynovitis.
  5. Mild to moderate hindfoot soft tissue edema.

Still not weight bearing. Pain 2-8/10 depending on the day and what I have done. Worse in the AM when I wake up and if I do anything e.g rolling around on my knee scooter causes pain and swelling.

I have a follow up next week for review of MRI and next steps.

Wasn't expecting 3 ligaments and a tendon tear. Wondering if he'll want to take a more conservative approach and still monitor or go for surgery given that it's been almost 2 months - and will be 2 months by the time I see him again.

Posted Jun 11, 2026, 9:21 PM UTC

12
Loading comments…