Proximal tibia stress fracture

Case contributed by Dr Bruno Di Muzio

Presentation

Pain in the left knee.

Patient Data

Age: 40 years
Gender: Female
X-ray

Knee radiographs

Transverse fracture line through the proximal tibia. 

CT

CT Knee

There is a transverse fracture line at the lateral aspect of the proximal tibial diaphysis, incomplete, surrounded by faint marrow hyperdensity, and showing new periosteal bone formation. No other fractures are seen, bone alignment is preserved. Mild joint knee degenerative changes are noted. No abnormal amount of joint effusion. 

MRI

MRI Knee

Transverse stress fracture of a low signal intensity of the proximal tibia with surrounding bone marrow oedema of high signal.

Case Discussion

The imaging features are those of a subacute stress fracture of the proximal tibia. 

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Case information

rID: 57457
Published: 27th Dec 2017
Last edited: 27th Dec 2017
Inclusion in quiz mode: Included

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