Anterolateral ankle impingement has been known under the term anterolateral meniscoid lesion which is the result of synovitis in the anterolateral gutter.
Anterolateral lateral gutter.
Panels a d show the left knee whereas panel e shows the right knee.
The impingement process begins when an inversion sprain tears the anterior talofibular and or the calcaneofibular ligament.
However inadequate immobilization and rehabilitation may lead to chronic inflammation in the ligament resulting in formation of scar tissue.
Anterolateral impingement of the ankle is a relatively uncommon cause of chronic lateral ankle pain produced by entrapment of abnormal soft tissue in the anterolateral gutter of the ankle 2 4.
Anterolateral impingement is thought to occur subsequent to relatively minor inversion injuries of the ankle.
A e arthroscopic views of the lateral gutter structures when viewed from inside.
The space may contain joint fluid in asymptomatic individuals and is defined by the following anatomical structures 1 4.
The patient is supine.
Anterolateral impingement syndrome of the ankle is caused by entrapment of the hypertrophic soft tissue in the lateral gutter.
The ligamentous injury is not severe enough to cause chronic instability.
These likely present sources of anterolateral gutter impingement.
It is an uncommon cause of chronic lateral ankle pain 6 typically seen in athletes 3 5.
The arthroscope is introduced through a high anterolateral portal while the limb is in the figure of 4 position.
Ament lcl din the lateral gutter.