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DOI:10.2214/AJR.07.3399
AJR 2008; 190:1487-1491
© American Roentgen Ray Society

Clinical Observations

MRI Appearance of Chronic Stress Injury of the Iliac Crest Apophysis in Adolescent Athletes

Kenneth J. Hébert1, Tal Laor1, Jon G. Divine2, Kathleen H. Emery1 and Eric J. Wall3

1 Department of Radiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
2 Division of Sports Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH.
3 Department of Orthopedic Surgery, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH.

OBJECTIVE. The objective of our study was to describe the MRI appearance of chronic repetitive stress injury of the iliac crest apophysis in adolescent athletes.

CONCLUSION. Increased signal intensity on water-sensitive sequences and mild widening of the physis, often with adjacent bone marrow and muscle edema, are characteristic of chronic stress injury of the iliac apophysis in adolescent athletes who may present with hip, pelvic, or back pain.

Keywords: adolescent athletes • growth plate • iliac apophysis • pelvic avulsion • sports medicine • stress fracture


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