Images in sports medicine: bone stress injury

History A female collegiate pole vaulter competing at the national level presented with constant pain in her non-dominant right lower leg. Initially, the assessing physician informed her that there were no signs of fracture or bone stress injury on the plain radiograph and told her to come back for an MRI if the pain in her non-take-off leg persisted. She continued to train without any improvement in symptoms. Relevant medical history included menstrual cycles that were regular, no indications of relative energy deficiency in sport (REDs),1 no history of injuries including bone stress injuries and a recent dual X-ray absorptiometry scan that indicated bone mineral density was above the normal range. Imaging findings Her MRI showed high intensity signal on short tau inversion recovery (STIR) images indicating significant marrow oedema in her tibia corresponding to the region of pain and tenderness (figure...
Source: British Journal of Sports Medicine - Category: Sports Medicine Authors: Tags: BJSM Images in sports medicine Source Type: research