Agree
Thanks
Orthopaedic Surgeon
Thanks very much for your question. Your MRI would indicate you have severe peroneus brevis tendinopathy with split-tearing, which means that the tendon is very degenerate and abormal and has started to tear longitudinally. This generally happens in a degenerate area with poor blood supply as it turns the corner around the outer part of your ankle (lateral malleolus).
Whilst I imagine you've probably already had the steroid injection, I would not generally recommend steroids since they can lead to atrophy and rupture of already damaged tendons.
The good news is that something can be done for your problem. With your clinical picture, surgery is generally recommended to either repair the torn peroneus brevis tendon (if possible), or tenodese it to the peroneus longus tendon. This operation has good results, and any good foot and ankle orthopaedic surgeon should be able to help you with this.
Best of luck.
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