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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Tear In Anterior Tibiofibular/syndesmotic Ligament In Ankle

Hi, I have a full thickness tear of anterior tibiofibular/syndesmotic ligament in my ankle confirmed from mri scan. Also the xray shows widening of the tib and fib. Would this require a screw?? The surgeon suggested will be hard to know until they have a look inside.. Do you have anything to add? or opinions? Thankyou Rick
Tue, 28 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, you should wait for spontaneous healing rather than jumping directly to the surgery.
In 50% cases, such Complete tear can be heal with
1. Avoidance of weight bearing
2. Complete bedrest.
3. Ankle cast for immobilization.
4. Painkiller and anti inflammatory drugs.
Do all thesethese for 4 weeks and get done repeat MRI. If it is healing then no need for surgery.
But if it is non healing then get done arthroscopic surgical repair of this ligament. In this, screws are needed.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Remedy For Tear In Anterior Tibiofibular/syndesmotic Ligament In Ankle

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should wait for spontaneous healing rather than jumping directly to the surgery. In 50% cases, such Complete tear can be heal with 1. Avoidance of weight bearing 2. Complete bedrest. 3. Ankle cast for immobilization. 4. Painkiller and anti inflammatory drugs. Do all thesethese for 4 weeks and get done repeat MRI. If it is healing then no need for surgery. But if it is non healing then get done arthroscopic surgical repair of this ligament. In this, screws are needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.