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Role of MRI in Prevention of Metatarsal Stress Fractures in Collegiate Basketball Players

Nancy M. Major1

1 Department of Radiology, Duke University Medical Center, Box 3808, Erwin Rd., Durham, NC 27710.



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  		Fig. 1 —MR image of 19-year-old male basketball player with stress injury of metatarsal. Long-axis fast spin-echo T2-weighted image (TR/effective TE, 3,500/56) with fat suppression shows high signal intensity representing bone marrow edema in proximal portion of fifth metatarsal (arrow). Finding is consistent with diagnosis of stress reaction.

 


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  		Fig. 2 —MR image of 18-year-old male basketball player with stress injury of metatarsal. Short-axis fast spin-echo T2-weighted image (TR/effective TE, 3,500/56) with fat suppression shows high signal intensity representing bone marrow edema at base of third metatarsal (arrow). Finding is consistent with stress reaction.

 


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  		Fig. 3A —MR images of 19-year-old male basketball player with stress injury of metatarsal. Long-axis fast spin-echo T2-weighted image (TR/effective TE, 3,500/56) with fat suppression shows high signal intensity at base of second metatarsal, representing bone marrow edema (arrow). No fracture line is identified, but findings would be consistent with stress reaction.

 


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  		Fig. 3B —MR images of 19-year-old male basketball player with stress injury of metatarsal. Follow-up examination shows, in addition to bone marrow edema, linear low signal intensity representing fracture line (arrow).

 

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