Anterolateral Gutter Ankle Impingement

The ankle impingement sign described by malloy uses thumb pressure over the lateral gutter while taking the ankle from a plantar flexed position to maximal dorsiflexion. The impingement process begins when an inversion sprain tears the anterior talofibular and or the calcaneofibular ligament. Patients will complain of pain around the anterolateral ankle gutter during weightbearing and may feel like the pain is deep in the joint.

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