Presentation
Hard landing on heel.
Patient Data
Age: 25
Gender: Male
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Slight cortical disruption of posterior calcaneus, but no fracture diagnosed.
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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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