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Why are missing ligaments on an MRI considered to be ruptured?

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I looked at the notes for an ankle MRI recently where the radiologist wrote that the ATFL ligament could not be demarcated. Later she wrote that the ATFL was completely ruptured, but I can't work out how she came to that conclusion if she couldn't distinguish it on the image.

I think I've seen this before and I tried to use Google to work why this is a sign of a complete rupture, but I can't seem to find anything that says why this is. Isn't it possible that the MRI just misses the ligament? Does someone know about this?

submitted by /u/whoreallyisyofriend
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source https://www.reddit.com/r/Radiology/comments/qbdc55/why_are_missing_ligaments_on_an_mri_considered_to/
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