AP (A) and oblique (B) views of the left ankle in a young athlete presenting with distal tibial/ankle pain show no fracture. The bones and joints appear.

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Presentation transcript:

AP (A) and oblique (B) views of the left ankle in a young athlete presenting with distal tibial/ankle pain show no fracture. The bones and joints appear normal. C: An MRI was obtained to evaluate for a stress fracture. This coronal FS T2-weighted image shows a jagged T2 hypointense line within the medial aspect of the distal tibial metaphysic extending perpendicular to the long axis of the bone. This is a stress fracture that is surrounded by extensive marrow edema. D: Healing tibial stress fracture. One month later, an AP view of the ankle shows a band of sclerosis corresponding perfectly to the stress fracture seen on the prior MRI. This is the typical appearance of a healing stress fracture. Source: Chapter 10. Lower Extremity, The Atlas of Emergency Radiology Citation: Block J, Jordanov MI, Stack LB, Thurman R. The Atlas of Emergency Radiology; 2013 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/bloc1/bloc1_c010f069b.png&sec=42499483&BookID=573&ChapterSecID=42496372&imagename= Accessed: November 13, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved