MRI of Stephy's Left Fot 7/2008

I confess to not understanding a whit of this, but it describes the pain and limitations of my ankles for a seriously educated medical professional to read. If you have a clue what thismeans, I welcome any commants or remarks. Both my feet and ankles are affected, and my assorted diagnoses range from Charcot Feet; to feet severly irradiated as the age of ten. Over the years, my ankle has fallen off my foot many times. This last time it has refused to join together again, and the chronic severe pain if barely controlled with a combination of TRNS unit use and Opiates. Friday July 29th I have a appointment with the best doctor in Chicago with regards to feet like mine. I hope I'm looking at an ankle fusion. More information posted as events warrant.

1 neuropathic joint changes prominently involving the taylo-navicular and sub-talor joints.

Anterior and medial displacement of the talus and medial angulation of the talo-navicular joint

Widening of the Lateral tibio-talor distance

Inferior placement of the fibula which appears to abut the posterior and lateral calcaneous

2 Extensive reactive Marrow edema throughout the medial talus and
also within the anterior calcaneous and cuboid.

3 no tedonitis or ligamentous injury identified

4 plantar calcaneal spur

5 Marked atrophy of the foot and ankle muscles

Details:
Widening of the lateral tibio-talor distance.

The talus is subluxed anteriorly and medially.


There is medial angulation of the Talo-navicular joint

Severe degenerative change of the talo-navicula with narrowing and osteophyte formation.

Severe narrowing of the sub-talor joints with subchondral cyst formation, and prominent reactive marrow edema throughout much of the talus, particularly the medial aspect.

Small sub-chondral lesion is seen along the plantar medial side of the anterior calcaneous

The fibula is driven into the lateral side of the calcaneous, and there are several subchondral cysts in the tip of the fibula.

Neuopathic joint changes,

Large calcaneal spur but no plantar fasciaitis

Achilles tendon unremarkable

Other tendon structures unremarkable in course and signal intensity.

Difficult to evaluate the posterior talo-fibular ligament due to severe distortion of the ankle, though the anterior talo-fibular ligament appears mostly intact.

Marked atrophy of the muscles in the foot and ankle.

Comments?