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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Result For Foot Indicate?

I recently had an MRI on my foot with the impression as such: Findings indicative of minimally displaced intra-articular avulsion fracture off the dorsal aspect of the base of the second to distal phalanx with concomitant findings suggestive of dorsal capsular injury. I injured this toe about 5 months ago and recently I am experiencing numbness in this toe. This is why the MRI was ordered. Does this injury require surgery?
Fri, 28 Apr 2023
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General & Family Physician 's  Response
Hi,

The MRI report suggests that you have a minimally displaced intra-articular avulsion fracture on the dorsal aspect of the base of the second to the distal phalanx of your foot, which means that a small piece of bone has been pulled away from its attachment site due to a ligament or tendon injury. Additionally, there are concomitant findings that suggest a dorsal capsular injury, which is an injury to the joint capsule that surrounds the joint.

The numbness you are experiencing may be due to nerve compression or damage caused by the injury. This may require further evaluation by a medical professional.

Whether or not surgery is required for this injury will depend on the severity and extent of the injury, as well as the level of pain and functional impairment it is causing. In some cases, conservative treatment such as rest, ice, immobilization, and physical therapy may be enough to manage the injury. However, if the injury is severe, surgery may be necessary to properly realign the bone fragment and promote healing.

It is best to consult with your doctor or a foot specialist (podiatrist or orthopedic surgeon) to determine the most appropriate treatment plan based on your specific condition and symptoms.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Does This MRI Result For Foot Indicate?

Hi, The MRI report suggests that you have a minimally displaced intra-articular avulsion fracture on the dorsal aspect of the base of the second to the distal phalanx of your foot, which means that a small piece of bone has been pulled away from its attachment site due to a ligament or tendon injury. Additionally, there are concomitant findings that suggest a dorsal capsular injury, which is an injury to the joint capsule that surrounds the joint. The numbness you are experiencing may be due to nerve compression or damage caused by the injury. This may require further evaluation by a medical professional. Whether or not surgery is required for this injury will depend on the severity and extent of the injury, as well as the level of pain and functional impairment it is causing. In some cases, conservative treatment such as rest, ice, immobilization, and physical therapy may be enough to manage the injury. However, if the injury is severe, surgery may be necessary to properly realign the bone fragment and promote healing. It is best to consult with your doctor or a foot specialist (podiatrist or orthopedic surgeon) to determine the most appropriate treatment plan based on your specific condition and symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician