12-year-old female with dog bite wound to the left ankle. Assess anterior tibial tendon and deep peroneal nerve. TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is within normal limits.LIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The visualized components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is focal edema within the anterior aspect of the talar dome that could represent injury from the patient's dog bite. There is a small amount of fluid within the ankle joint which is nonspecific. The bone marrow signal intensity is otherwise within normal limits.ADDITIONAL
1. Although we see no specific findings to confirm injury to the deep peroneal nerve, the nerve cannot be completely identified amidst the focal edema within the soft tissues of the ankle and we cannot completely exclude the possibility of injury.2. Small focus of edema within the anterior aspect of the talar dome may represent injury related to the patient's history of a dog bite; note that we cannot exclude the possibility of focal osteomyelitis.3. Normal-appearing tendons.