Gutter impingement was treated surgically either through open medial and lateral ankle arthrotomies in 12 cases 32 4 or through an anterior ankle arthrotomy in 25 cases 67 6 figures 4 8. Anterior anterolateral and anteromedial and posterior posteromedial 1 location of pain is referenced from the tibiotalar talocrural joint 2 anterior ankle impingement generally refers to entrapment of structures along the anterior margin of the tibiotalar joint in terminal dorsiflexion. The lateral clear space is measured from the medial border of the fibula to the lateral border of the posterior tibia 1cm above the tibial plafond.
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