However inadequate immobilization and rehabilitation may lead to chronic inflammation in the ligament resulting in formation of scar tissue. Mr arthrographic assessment of the anterolateral soft tissues had an accuracy of 97 sensitivity of 96 specificity of 100 negative predictive value of 89 and positive predictive value of 100. The impingement process begins when an inversion sprain tears the anterior talofibular and or the calcaneofibular ligament.
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