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Fig. 3B. —Bone bruise in 16-year-old boy with acute syndesmosis injury. Arrowheads indicate medial talus, and arrows indicate edematous lateral ligaments. Coronal fat-suppressed T2-weighted fast spin-echo image (3,167/76) shows that bone bruise is consistent with inversion mechanism of injury. Edematous lateral ligaments indicate acute injury. Bone bruises were found to have significant association with acute syndesmosis injuries.