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Stress Fracture, Ankle and Foot
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Chronic, repetitive injury that leads to incomplete or complete macroscopic fracture
              • Stress response: Bone marrow edema or long-segment periosteal reaction without fracture line
              • Fatigue fracture: Fracture due to abnormal stress on normal bone
              • Insufficiency fracture: Fracture due to normal stress on weak bone
              • Pathologic fracture: Fracture due to underlying tumor or infection
            • In practice, often overlap between fatigue and insufficiency fractures

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Welck MJ et al: Stress fractures of the foot and ankle. Injury. ePub, 2015
                                2. Yu SM et al: MRI of isolated cuboid stress fractures in adults. AJR Am J Roentgenol. 201(6):1325-30, 2013
                                3. Brockwell J et al: Stress fractures of the foot and ankle. Sports Med Arthrosc. 17(3):149-59, 2009
                                4. Mann JA et al: Evaluation and treatment of navicular stress fractures, including nonunions, revision surgery, and persistent pain after treatment. Foot Ankle Clin. 14(2):187-204, 2009
                                5. Burne SG et al: Tarsal navicular stress injury: long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Am J Sports Med. 33(12):1875-81, 2005
                                6. Franco M et al: An uncommon cause of foot pain: the cuboid insufficiency stress fracture. Joint Bone Spine. 72(1):76-8, 2005
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Chronic, repetitive injury that leads to incomplete or complete macroscopic fracture
                                            • Stress response: Bone marrow edema or long-segment periosteal reaction without fracture line
                                            • Fatigue fracture: Fracture due to abnormal stress on normal bone
                                            • Insufficiency fracture: Fracture due to normal stress on weak bone
                                            • Pathologic fracture: Fracture due to underlying tumor or infection
                                          • In practice, often overlap between fatigue and insufficiency fractures

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Imaging Recommendations

                                                  • Nuclear Medicine Findings

                                                    DIFFERENTIAL DIAGNOSIS

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Welck MJ et al: Stress fractures of the foot and ankle. Injury. ePub, 2015
                                                              2. Yu SM et al: MRI of isolated cuboid stress fractures in adults. AJR Am J Roentgenol. 201(6):1325-30, 2013
                                                              3. Brockwell J et al: Stress fractures of the foot and ankle. Sports Med Arthrosc. 17(3):149-59, 2009
                                                              4. Mann JA et al: Evaluation and treatment of navicular stress fractures, including nonunions, revision surgery, and persistent pain after treatment. Foot Ankle Clin. 14(2):187-204, 2009
                                                              5. Burne SG et al: Tarsal navicular stress injury: long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Am J Sports Med. 33(12):1875-81, 2005
                                                              6. Franco M et al: An uncommon cause of foot pain: the cuboid insufficiency stress fracture. Joint Bone Spine. 72(1):76-8, 2005