J Korean Radiol Soc.  1999 Jan;40(1):147-154. 10.3348/jkrs.1999.40.1.147.

Stress Fracture in Posterior Aspect of the Tibia

• Moon TY
• Chun KA
• Koo BS
• Lee SY
• Jung HW
• Park CH

• KMID: 2103278
• DOI: http://doi.org/10.3348/jkrs.1999.40.1.147

Abstract

PURPOSE: To determine correlation between stress fracture of the posterior tibia and flexor digitorum longusmuscle injury caused by athletic or sporting activity during adolescence. MATERIALS AND METHODS: Eleven casesdiagnosed as stress fracture after X-ray and MR imaging of the lower leg were reviewed. With regard to eachfracture, the following features were noted: age, sex, and athletic or sporting activity of the patient, and site.Using MR imaging techniques, axial and sagittal T1 and T2 weighted images were obtained in all cases and T1-GdDTPA images in seven. RESULTS: The activities undertaken were running (n=3), football (n=2), ballet (n=2),taekwando (n=1), badminton (n=1), field hockey (n=1), and basketball (n=1). MR images revealed localized corticalthickness (n=11), linear intramedullary callus showing a low signal on T1 and T2 weighted images (n=9), marrowhyperemia (n=7), and flexor digitorum longus muscle injury showing a high signal on T1-Gd DTPA and T2 weightedimage (n=7). CONCLUSION: Stress fracture of the posterior tibia might be induced by flexor digitorum longusmuscle activity induced by athletic or sporting activities during adoleseence.

Keyword

Fracture, stress; Fracture, MR; Tibia, fractures

MeSH Terms

Adolescent
Basketball
Bony Callus
Football
Fractures, Stress*
Hockey
Humans
Leg
Magnetic Resonance Imaging
Pentetic Acid
Racquet Sports
Running
Sports
Tibia*
Pentetic Acid