Best Practice Case Studies-Case 113 Asset 1 Distal Tibial Stress Fracture

Case 113 Asset 1 Distal Tibial Stress Fracture

Video Transcription

Video Summary

The video reviews two cases of suspected tibial stress fracture with emphasis on imaging. A 43-year-old female runner had 10 days of right ankle pain; ultrasound showed a small tibiotalar effusion and periosteal hypervascularity, while initial radiographs were negative. MRI revealed a distal tibial stress fracture with linear T1 hypointensity, surrounding T2 marrow edema, small effusion, and pre-Achilles fat pad edema; an incidental physeal scar was noted. A second case (19-year-old male) had normal radiographs but MRI-confirmed medial tibial stress fracture, graded using the Fredrickson system (grade 4a).

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 113

Topic Ankle

Keywords

4th Edition

Ankle

tibial stress fracture

MRI findings

ultrasound periosteal hypervascularity

negative radiographs

Fredrickson grading system

4th Edition, Case 113