Can bone marrow edema be seen on STIR images of the ankle and foot after 1 week of running?

Eur J Radiol. 2003 Jul;47(1):25-8. doi: 10.1016/s0720-048x(02)00221-8.


Purpose: To evaluate whether initiation of running in sedentary individuals would lead to bone marrow edema on MR images, within the time span of 1 week.

Materials and methods: The feet of 10 healthy volunteers were imaged by MR imaging before and after running during 30 min a day for 1 week. The images were evaluated by consensus of 2 musculoskeletal radiologists who graded the presence of bone marrow edema on a 4-point scale. Edema scores and number of bones involved before and after running were compared statistically.

Results: Edema was present on the baseline images in 3 subjects. After running edema showed an increase or was present in 5 subjects. The changes after running were statistically significant. Bones involved were the talus, calcaneus, navicular bone, cuboid bone, and 5th metatarsal.

Conclusion: Edema patterns can be seen in the feet of asymptomatic individuals. During initiation of running an increase of edema or development of new edema areas can be seen.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Ankle
  • Bone Marrow Diseases / diagnosis*
  • Diagnosis, Differential
  • Edema / diagnosis*
  • Female
  • Foot
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Metatarsal Bones / diagnostic imaging
  • Metatarsal Bones / pathology
  • Radiography
  • Reference Values
  • Running*
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Tarsal Bones / diagnostic imaging
  • Tarsal Bones / pathology