Ankle fibrolipoma

Impingement Lesions

Description of patient (type of occupation, indication of age, intensity of sport):

A 16-years old, female volleyball player.

History and previous treatment:

Conservative treatment failed.

Current complaints:

2 years complains, no serious ankle injury before.

Physical examination:

Deep ankle pain, slight posterior impingement.


Normal X-ray findings.

Additional investigation (CT/MRI):
[Picture 1]

Ankle MRI shows some soft tissue at the posterolateral gutter.
[Picture 2]


Case summary:

Complaints of the patient almost gone after 6 weeks.

Question(s) to this case:

How common is this finding?
Was it the cause of the pain?


Yes, this is syndesmotic soft tissue impingement. The tissue usually consists of traumatized fatty tissue. Treatment by arthroscopic removal is usually successful.