Presentation
Ongoing knee pain, physiotherapy not helping.
Patient Data
Age: 65 years
From the case:
Stress fractures (MRI knee)
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Step-like transverse fractures through the distal femoral metaphysis and proximal tibial metaphysis with marked surrounding bone marrow edema. The tibial fracture extends across the entire transverse width of the posterior tibia.
Degenerative horizontal longitudinal medial meniscus tear.
Case Discussion
Stress fractures tend to have a step-like appearance, as opposed to straight fractures in acute injuries. The T1-weighted sequence is best for identifying fracture lines.
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