Calcaneal fatigue fracture

Case contributed by Dr Roberto Schubert

Presentation

Heel pain on weight bearing after running a half-marathon.

Patient Data

Age: 35
Gender: Male

MRI hindfoot

mri

Hypointense line surronded by T1-hypointense and T2-hyperintense bone marrow hematoma. No fragment dislocation.

Case Discussion

Fatigue fractures (sometimes referred to merely as stress fractures) of the foot and ankle may occur in several locations. The middle foot is the most frequent site, but the calcaneus, the cuboid or the distal tibia may also be affected. MRI is the most sensitive detection method.

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