As compared to the use of ce fat suppressed 3d fspgr mri the use of routine mri with 3 mm slices was not satisfactory for assessing anterolateral soft tissue impingement due to its low resolution. The major drawbacks of the use of routine mri in assessing the anterolateral gutter were a greater partial volume effect and a lower conspicuity as compared to the use of ce fat suppressed 3d fspgr. The impingement process begins when an inversion sprain tears the anterior talofibular and or the calcaneofibular ligament.
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