Ankle and Foot 47 - Department of Radiology - University of ...

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2300 VII Imaging of the Musculoskeletal System A B C D Figure 47-104. Calcaneal stress fracture in a 62-year-old. A, Lateral radiograph shows a sclerotic band (black arrowheads) in the characteristic position of a calcaneal stress fracture, perpendicular to the trabeculae (white arrowheads). Incidentally seen is an os peroneum (arrow), a common normal variant. B, Midsagittal T1-weighted image shows the characteristic well-defined black line (arrowheads) of a calcaneal stress fracture. C, The corresponding midsagittal T2-weighted fat-suppressed (T2FS) image also shows the dark fracture line (arrowheads) as well as surrounding bone marrow edema. D, Sagittal inversion recovery (IR) image shown for comparison with the T2FS image (C). On the IR image, the normal fatty bone marrow is very dark, making the bone marrow edema more conspicuous. Arrowheads show the calcaneal stress fracture. Ch047-A05375.indd 2300 9/9/2008 5:36:00 PM
47 Ankle and Foot 2301 47 A B C Figure 47-105. Calcaneal stress fracture in a 14-year-old cross-country runner. A, Lateral radiograph shows a subtle sclerotic band (arrowheads in the magnified dashed box). CT scans in the axial (B) and sagittal (C) planes show the sclerotic line in the right calcaneus (arrowheads). The normal left calcaneus is included for comparison. Continued Ch047-A05375.indd 2301 9/9/2008 5:36:01 PM
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Ankle and Foot 47 - Department of Radiology - University of ...

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