Reason: r/o tendon / muscle / ligament tear History: pain, swelling TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is normal in appearance.LIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The imaged components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: Degenerative changes affect the first MTP joint. Metallic susceptibility artifact is identified within the first metatarsal head indicating postsurgical change. Otherwise no bone marrow signal abnormality is identified. ADDITIONAL
Nonspecific subcutaneous edema along the anterior and lateral aspect of the ankle. No evidence of ligamentous injury. Osteoarthritis and surgical changes of the first MTP joint.