A year 25 year old professional altlete with persisting posterolateral deep ankle pain after an eversion trauma. On a MRI scan a partial rupture of the transverse ligament was seen with scar tissue formation. On clinical examination no signs of syndesmotic instability.             

A posterior arthroscopy with debridement of the ligament remains was performed.

Picture 1: Deep ankle pain due to partial rupture transverse ligament. View from posterior.

Picture 2: Note the neovascularisation on the scar tissue.

Picture 3: Situation after debridement.