Figure 4a. Direct anterior TFL repair (Broström procedure) in a 34-year-old man. (a) Oblique radiograph of the ankle shows two suture anchors at the distal fibula (arrows) with no osseous tunnel. (b, c) Axial (b) and sagittal (c) T1-weighted MR images show artifact from suture anchors at the distal fibula in the region of the anterior TFL (arrows). The peroneal tendons are intact. (d) Longitudinal US image shows the normal anterior TFL with a compact fibrillar echotexture (arrowheads) and echogenic suture material (arrows). F = fibula, T = talus.