Fracture of calcaneus

Case contributed by Dr Tim Luijkx

Presentation

Hard landing on heel.

Patient Data

Age: 25
Gender: Male
X-ray

Initial radiographs

Slight cortical disruption of posterior calcaneus, but no fracture diagnosed.

MRI

MRI 8 days later

T1 hypointense, mostly transverse line through the posterior aspect of the calcaneus with extensive associated bone marrow edema as visible on T2 SPAIR images, in keeping with a fracture. No dislocation or involvement of articular surfaces. 

No abnormalities outside the calcaneus.

Case Discussion

Fractures can be very hard to identify on plain radiographs or even be occult, even when studied retrospectively. In such cases MRI will readily demonstrate the bone marrow edema associated with a fracture. A hypointense line on T1 will confirm the diagnosis of a fracture.

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Case information

rID: 39433
Published: 3rd Sep 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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