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DOI:10.2214/AJR.07.3379
AJR 2008; 191:1412-1419
© American Roentgen Ray Society

Pictorial Essay

Diagnostic Imaging in Athletes with Chronic Lower Leg Pain

Michele Gaeta1, Fabio Minutoli1, Silvio Mazziotti1, Carmela Visalli1, Sergio Vinci1, Felice Gaeta2 and Alfredo Blandino1

1 Department of Radiological Sciences, University of Messina, Policlinico "G. Martino," Via Consolare Pompea 1871, 98165, Messina, Italy.
2 Sport Medicine, Faculty of Motor Science, University of Messina, Policlinico "G. Martino," Messina, Italy.

OBJECTIVE. Our purpose is to describe the imaging features in athletes with chronic lower leg pain, emphasizing the role of MRI and CT, which are the diagnostic tools with the highest sensitivity and specificity in the differential diagnosis of lower leg pain. Moreover, a diagnostic algorithm in patients with chronic lower leg pain is proposed.

CONCLUSION.Plain radiography has a low sensitivity but may reveal tibial stress fractures, bone tumors, and soft-tissue calcification. CT and MRI may be useful to better evaluate the abnormalities shown by plain radiography.

Keywords: CT • lower leg pain • MRI


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