3 during an inversion ankle injury the anterior talofibular ligament and calcaneofibular ligament are affected as is the distal syndesmosis. Patients will complain of pain around the anterolateral ankle gutter during weightbearing and may feel like the pain is deep in the joint. The efficacy of conventional nonarthrographic mri to detect anterolateral gutter soft tissue abnormalities remains controversial with a wide range of sensitivities 39 100 and specificities 50 100 21 23 and has been shown to be accurate in detecting only substantial joint effusions.
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