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Case 3: Stress Fracture

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Show the next case here.

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Just going through number of examples for you guys.

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Um, one, uh, when we look on this, uh, sagittal sequence,

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we're scrolling through the bones in this T two

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weighted fast press sequence.

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You can see that, um, most

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of the metatarsals have a very low signal on the

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T two fat suppressed.

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Um, but when we get to the fifth metatarsal, you can see

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that there's abnormal T two hyperintense signal in the shaft

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of the bone, uh, with surrounding, um, marrow edema.

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When we go to the axial images, um,

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you also can see hyperintense signal in the marrow,

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and this was a stress, uh, fracture of the fifth metatarsal.

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Now, if I don't see a fracture line,

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I'll use the term stress reaction.

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Um, I believe that they treat them often similarly,

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but of course it's a higher degree injury.

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If you have an actual fracture line

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and on T one instead

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of seeing the nice fatty marrow, you might, uh,

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see a little bit of darkening of the marrow, um,

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for a stress, uh, fracture.

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So very common to see that as well.

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Faculty

Jonathan Samet, MD

Division Head, Body Imaging Section Head, Musculoskeletal Imaging Department of Medical Imaging Ann & Robert H. Lurie Children's Hospital of Chicago Associate Professor of Radiology Northwestern University Feinberg School of Medici

Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine

Tags

Trauma

Musculoskeletal (MSK)

MRI

Foot & Ankle