Clinical features of anterior ankle impingement syndrome include painful and limited dorsiflexion and anterior joint line swelling 2. 3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. The mr findings of an abnormal soft tissue mass or fibrous band in the anterolateral ankle gutter distinct from the anterior talofibular ligament suggest the diagnosis of anterolateral impingement 2 3.
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