Mr arthrographic assessment of the anterolateral soft tissues had an accuracy of 97 sensitivity of 96 specificity of 100 negative predictive value of 89 and positive predictive value of 100. Anterolateral impingement syndrome of the ankle is caused by entrapment of the hypertrophic soft tissue in the lateral gutter. Ultrasound and mr imaging can potentially detect abnormal nodular soft tissue extruding anteriorly from the anterolateral gutter.
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