I am a 33 year old male, who presents with a Lisfranc injury. I had a leg injury 20 days back. I was told it was a minor sprain, and I tried to walk on my foot, but it is paining a lot. I am currently using non-weight bearing boots, and would not be able to see my surgeon for another six days. I got an MRI of the leg, can you please make me understand the findings?
The MRI reads, both the dorsal and plantar bundles of Lisfranc ligaments are intact and normal in appearance. The first and second TMT joints are normal. There has been a capsular injury involving the dorsal aspect of the fourth TMT joint. Edema overlies the dorsum of the foot in this region. There is no associated fracture demonstrated. Mild edema is also seen in the adjacent cuboid at its articulation with the fifth metatarsal. The third TMT joint is normal and the shafts of the metatarsals are normal. The navicular cuneiform joint complex is normal. The extensor tendons are well maintained and the flexor tendons are intact. Capsular injury involving the dorsal aspect of the fourth TMT joint with adjacent bone contusions and intact Lisfranc ligament.
I was wondering, after reading this, what should I expect at my next appointment with the surgeon. Will I require a cast? I also do not understand what any of this means. Thank you.
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