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Images in sports medicine
Images in sports medicine: bone stress injury
  1. Yuka Tsukahara1,
  2. Bruce B Forster2,
  3. Benjamin E Plotkin3,
  4. Suguru Torii4
  1. 1 Department of Sports Medicine, Tokyo Women's College of Physical Education, Kunitachi, Tokyo, Japan
  2. 2 Department of Radiology, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada
  3. 3 Department of Radiology, UCLA, Los Angeles, California, USA
  4. 4 Faculty of Sport Sciences, Waseda University, Saitama, Japan
  1. Correspondence to Dr Yuka Tsukahara, Department of Sports Medicine, Tokyo Women's College of Physical Education, Kunitachi, Tokyo, Japan; yuka.voila{at}gmail.com

https://doi.org/10.1136/bjsports-2023-107714

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    History

    A female collegiate pole vaulter competing at the national level presented with constant pain in her non-dominant right lower leg. Initially, the assessing physician informed her that there were no signs of fracture or bone stress injury on the plain radiograph and told her to come back for an MRI if the pain in her non-take-off leg persisted. She continued to train without any improvement in symptoms. Relevant medical history included menstrual cycles that were regular, no indications of relative energy deficiency in sport (REDs),1 no history of injuries including bone stress injuries and a recent dual X-ray absorptiometry scan that indicated bone mineral density was above the normal range.

    Imaging findings

    Her MRI showed high intensity signal on short tau inversion recovery (STIR) images indicating significant marrow oedema in her tibia corresponding to the region of pain and tenderness …

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    Footnotes

    • Twitter @brucebforster

    • Contributors All authors were involved in the planning, conducting and writing of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests YT is an associate editor of British Journal of Sports Medicine and BBF is an IPHP editorial board of British Journal of Sports Medicine.

    • Provenance and peer review Not commissioned; externally peer reviewed.