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A 42-year-old female ballet dancer with lateral ankle pain and fullness. Axial intermediate weighted MR image at the level of the lateral gutter of the ankle joint demonstrates diffuse thickening and scar encasement of the anterior talofibular ligament (arrow in a) in a patient with symptoms of anterolateral impingement (T talus; F fibula). Ultrasound-guided diagnostic and therapeutic injections can be performed at this site to assess symptom relief.
