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High-Resolution CT Grading of Tibial Stress Reactions in Distance Runners

Michele Gaeta1, Fabio Minutoli2, Sergio Vinci2, Ignazio Salamone2, Letterio D'Andrea1, Linda Bitto1, Ludovico Magaudda1 and Alfredo Blandino2

1 Graduating Course of Motor and Sport Sciences, University of Messina, 98100 Messina, Italy.
2 Department of Radiological Sciences, University of Messina, Policlinico "G. Martino," Via Consolare Valeria, 98100 Messina, Italy.


Figure 1
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  		Fig. 1 —23-year-old asymptomatic female runner with type 0 tibial CT findings. Axial CT scan of tibial diaphysis shows homogeneously attenuating cortex. No cortical bone abnormalities can be seen.

 

Figure 2
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  		Fig. 2A —22-year-old asymptomatic male runner with type 1 tibial CT findings. Axial CT scan (A) and multiplanar reconstruction along medial surface (B) of tibial diaphysis show small, scattered areas of slightly reduced cortical attenuation (dots) without clear findings of osteopenia.

 

Figure 3
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  		Fig. 2B —22-year-old asymptomatic male runner with type 1 tibial CT findings. Axial CT scan (A) and multiplanar reconstruction along medial surface (B) of tibial diaphysis show small, scattered areas of slightly reduced cortical attenuation (dots) without clear findings of osteopenia.

 

Figure 4
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  		Fig. 3 —21-year-old man with medial tibial stress syndrome and type 2 tibial CT findings. Axial CT scan shows cortical osteopenia (arrows) with few small resorption cavitations (arrowheads).

 

Figure 5
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  		Fig. 4A —22-year-old man with medial tibial stress syndrome and type 2 tibial CT findings. Axial CT scan (A) and multiplanar reconstruction along medial surface (B) of painful tibial diaphysis show cortical osteopenia and extensive striations (arrowheads).

 

Figure 6
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  		Fig. 4B —22-year-old man with medial tibial stress syndrome and type 2 tibial CT findings. Axial CT scan (A) and multiplanar reconstruction along medial surface (B) of painful tibial diaphysis show cortical osteopenia and extensive striations (arrowheads).

 

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