Posteromedial Impingement

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Occasionally after a severe ankle sprain, a thick, confluent scar persists between the medial wall of the talus and the posterior margin of the medial malleolus, causing persistent pain and localized tenderness, particularly with plantar flexion and inversion [43]. Development of this symptomatic local scarring has been referred to as posteromedial impingement, and is thought to result from the deep posterior deltoid ligament being crushed between the talus and the medial malleolus at ankle sprain [43].

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