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Patchy marrow signal in pediatric hindfoot

Case contributed by Dr Dalia Ibrahim

Presentation

Ankle trauma.

Patient Data

Age: 15 years
Gender: Female

Multiple scattered foci of hyperintensity in the hindfoot bones.

Case Discussion

Patchy marrow signal of the hindfoot in the pediatric population is a common finding, especially if bilateral and symmteric !! It's a common finding in asymptomatic active children.

This could be attributed to residual red marrow or physiologic stress from increased bone remodeling, as they are absent in children after 15 years of age.

They should be differentiated from disuse osteopenia secondary to prolonged immobilization and reflex sympathetic dystrophy. Therefore, clinical data and patient's manifestations are important for differentiation.

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Case information

rID: 83252
Published: 17th Oct 2020
Last edited: 18th Oct 2020
Inclusion in quiz mode: Included

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