Anterolateral Gutter Ankle Impingement

The investigators noted that if hypertrophic synovitis is present this maneuver impinges the synovium between the neck of the talus and the distal tibia. Anterolateral impingement of the ankle is a relatively uncommon cause of chronic lateral ankle pain produced by entrapment of abnormal soft tissue in the anterolateral gutter of the ankle 2 4. Anterior talofibular ligament thickening and soft tissue fullness in the lateral gutter may be suggestive of the diagnosis but the reliability of the latter finding is questionable.

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