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Anteromedial Impingement of the Ankle

Using MR Arthrography to Assess the Anteromedial Recess

¹ Department of Medical Imaging, Mount Sinai Hospital and the University Health Network, University of Toronto, Toronto, Ontario, Canada M5S 1A1.
² Present address: Department of Diagnostic Radiology, St. James University Hospital, Beckett St., Leeds, LS9 7TF, United Kingdom.
³ Department of Orthopaedic Surgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada M5S 1A1.

OBJECTIVE. Our objective was to describe the appearance of the anteromedial tibiotalar joint on MR arthrography in patients with clinically and arthroscopically confirmed anteromedial impingement.

CONCLUSION. Anteromedial impingement of the ankle is now being recognized in the orthopedic literature as a distinct entity. MR arthrographic findings of anteromedial impingement include capsular and synovial soft-tissue thickening anterior to the tibiotalar ligaments and any associated osseous abnormality. Although anteromedial impingement is uncommon compared with other impingement syndromes of the ankle, the radiologist should be aware of the diagnosis and possible findings on cross-sectional imaging.

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