Tendon & Ligament Tears or Sprains
Ankle sprains, ligament tears and Achilles tendon tears are among the most common sports-related injuries, but they can also happen when you’re just walking down the street.
Rest, ice and strengthening/stretching exercises can often fix these problems. When those conservative treatments don’t work, surgery may become necessary.
Typically, we repair these problems through arthroscopy, minimally invasive surgery that uses a camera and instruments inserted through small incisions. Complex tendon or ligament tears may require open surgery. In either case, our goal is to get you back in the game quickly and safely.
- Achilles tendon tears and other tears
- Ankle ligament repair and reconstruction
- Midfoot (Lisfranc) sprains
Achilles tendon tears and other tears
Tendon tears can involve any tendon in the ankle and foot. The most common is a complete tear of the Achilles tendon a couple of inches above the heel bone. Less common are tears of the peroneus brevis or longus tendons or the posterior or anterior tibial tendons.
Many tears are treated successfully with casts or braces. Some tendon tears, however, require surgery. Usually this surgery is done through minimally invasive incisions. The operation may involve removing torn flaps of tendon, repairing a tear, or reconstructing the tendon using a piece of tendon from another part of your foot. If a misalignment is overloading your tendons, we may recommend realigning the bones of the hindfoot.
Back to top
Ankle ligament repair and reconstruction
When you sprain your ankle, the ligaments around your ankle are stretched or torn. This causes swelling, bruising and pain. Most ankle sprains heal with non-surgical treatments such as rest and ice, but some lead to chronic pain and ankle instability.
We use arthroscopic surgery to repair or reconstruct damaged ligaments causing chronic pain or instability. If you’ve had prior surgery that failed, or if you have loose ligaments throughout your body, we may recommend lateral ligament reconstruction using tendon graft. We may also recommend realigning the bones of the hindfoot if misalignment contributes to your instability.
Back to top
Midfoot (Lisfranc) sprains
Sprains of the midfoot are more serious than ankle sprains and are often missed in the ER or urgent care center. If you were told you sprained your ankle but the pain is centered in the middle part of your foot, you may want to get an evaluation.
Midfoot sprains can be caused during high-energy trauma such as a car accident, contact sports or a sudden twist. These sprains may require fusion or surgical stabilization to ease pain and improve mobility.
Back to top