Anterolateral Gutter Impingement Syndrome

The osteochondral loose body likely originates from a full thickness sharply marginated chondral loss along the anterior aspects of the tibial plafond measuring 6 x 8 mm in dimension. It is an uncommon cause of chronic lateral ankle pain 6 typically seen in athletes 3 5. Figure 1 relevant anatomy for antero lateral ankle impingement.

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