The investigators noted that if hypertrophic synovitis is present this maneuver impinges the synovium between the neck of the talus and the distal tibia. The purpose of this study was to determine the effectiveness and reliability of routine mr imaging in the diagnosis of anterolateral soft tissue impingement. 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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