Moderate ankle and small posterior subtalar joint effusions. Bone contusion involving the medial talar head, neck and anterior body as well as the medial malleolus and medial navicular. Small focus subchondral marrow oedema in the medial tibial plafond.
Syndesmotic ligaments are intact. Complete tear ATFL. Near complete tear in proximal CFL. PTFL is intact. Marked contusion of deep deltoid. Spring ligamentous complex and superficial deltoid show mild surrounding oedema but no tear. Dorsal talonavicular and bifurcate ligaments are intact. Mild sprain of long plantar ligament.
Normal sinus tarsi, plantar fascia origin and Achilles tendon.
Moderate sprain of extensor and peroneal retinaculum. Moderate tendon sheath effusion of EDL at the level of the injured extensor retinaculum. Mild peroneal tenosynovitis. Minor sheath effusion of the flexor tendons. No tendon tear.
Small muscle belly of peroneus quartus extends down to the level of peroneal tubercle.