Describe your findings
Moderate bone marrow oedema is evident in the distal tibia and posterior calcaneum, which are associated with predominantly linear areas of low T2 weighted signal with high T2 signal periosteal reaction surrounding the posterior tibia. Findings in keeping with stress fractures. In addition, there is a moderate ankle joint effusion, a type 2 os naviculare and the spring ligament recess is noted.
Is the spring ligament complex intact?
Yes. The spring ligament recess is noted, best demonstrated on the axial PDFS sequence.
Moderate bone marrow oedema is evident in the distal tibia and posterior calcaneum, which are associated with predominantly linear areas of low T2 weighted signal with high T2 signal periosteal reaction surrounding the posterior tibia. Findings in keeping with stress fractures.
In addition, there is a moderate ankle joint effusion, a type 2 os naviculare and the spring ligament recess is noted.