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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Short Segment Longitudinal Tear On An MRI Report Suggest?

I fractured my 5th metarsal in June, went to have an mri done on my foot on Friday, due to not being able to move my last 2 toes and still having swelling and difficulty walking, the mri states I have a short segment longitudinal tear involvling the peroneus brevis as it exits the retromalleolar groove. Does this require surgery?
Wed, 10 Apr 2019
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General & Family Physician 's  Response
Hello,

With regard to tearing morphology, the classic ideal candidate for meniscal repair is the peripheral longitudinal tear.

Longitudinal tears do not disrupt the circumferential architecture of the meniscus, and thus repair of longitudinal tears leads to a meniscus with relatively normal biomechanical function.

The tear should be eight millimeters or more in length, as shorter peripheral longitudinal tears are less likely to be symptomatic and may heal spontaneously.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr AJEET SINGH, General & Family Physician
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What Does Short Segment Longitudinal Tear On An MRI Report Suggest?

Hello, With regard to tearing morphology, the classic ideal candidate for meniscal repair is the peripheral longitudinal tear. Longitudinal tears do not disrupt the circumferential architecture of the meniscus, and thus repair of longitudinal tears leads to a meniscus with relatively normal biomechanical function. The tear should be eight millimeters or more in length, as shorter peripheral longitudinal tears are less likely to be symptomatic and may heal spontaneously. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician