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The talar dome lesion is from when she turned the ankle and the talus knocked into the fibula. The bone underneath the cartilage gets damaged, collapses and the cartilage covering it sort of falls apart. Lateral ankle ligaments get torn all the time. Torn lateral ligaments and torn medial(deltoid)ligament, not so much. A lot of the time, the deltoid ligament will snatch a piece of tibia off the end before it tears.
There is no magic cure. When it talks about interval progression of talar dome lesion, when was the imaging previously done? MRI, not xray, xray won't show you much.
I think you need a second opinion.
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