Trauma of the Appendicular Skeleton: Overuse-Related Injury

  • Mario Maas


Acute traumatic injury of the appendicular skeleton requires fracture detection, classification, and then treatment, usually in an Emergency (Radiology) Department. Nearly every weekend, radiologists are confronted with various fracture types. In The Netherlands, the sudden reappearance in the winter of 2009 of below-freezing temperatures led to an enthusiastic increase in ice skating — with a dramatic increase in fractures, mainly of the wrist, in Dutch hospitals!


Stress Fracture Bone Marrow Edema Appendicular Skeleton Fracture Detection Injured Athlete 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Arendt EA, Griffiths HJ (1997) The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes. Clin Sports Med 16:291–306CrossRefPubMedGoogle Scholar
  2. Berger FH, de Jonge MC, Maas M (2007) Stress fractures in the lower extremity. Eur J Radiol 62:16–26CrossRefPubMedGoogle Scholar
  3. Fredericson M, Bergman AG, Hoffman KL, Dillingham MS (1995) Tibial stress reaction in runners. Correlation of clinical symp-toms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med 23:472–481CrossRefPubMedGoogle Scholar
  4. Groves AM, Cheow HK, Balan KK et al (2005) 16-Detector multislice CT in the detection of stress fractures: a comparison with skeletal scintigraphy. Clin Radiol 60:1100–1105CrossRefPubMedGoogle Scholar
  5. Hayes CW, Brigido MK, Jamadar DA, Propeck T (2000) Mechanism-based pattern approach to classification of complex injuries of the knee depicted at MR imaging. Radiographics 20:S121–S134PubMedGoogle Scholar
  6. Kornaat PR, de Jonge MC, Maas M (2008) Bone marrow edemalike signal in the athlete. Eur J Radiol 67:49–53CrossRefPubMedGoogle Scholar
  7. Major NM, Helms CA (2002) MR imaging of the knee: findings in asymptomatic collegiate basketball players. AJR Am J Roentgenol 179:641–644PubMedGoogle Scholar
  8. Sanders TG, Medynski MA, Feller JF, Lawhorn KW (2000) Bone contusion patterns of the knee at MR imaging: footprint of the mechanism of injury. Radiographics 2000 20:S135–S151Google Scholar
  9. Schweitzer ME, White LM (1996) Does altered biomechanics cause marrow edema? Radiology 198:851–853PubMedGoogle Scholar
  10. Sofka CM (2006) Imaging of stress fractures. Clin Sports Med 25:53–62, viiiCrossRefPubMedGoogle Scholar
  11. Yao L, Johnson C, Gentili A et al (1998) Stress injuries of bone: analysis of MR imaging staging criteria. Acad Radiol 5:34–40CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Mario Maas
    • 1
  1. 1.Department of Radiology, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands

Personalised recommendations