The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes

Clin Sports Med. 1997 Apr;16(2):291-306. doi: 10.1016/s0278-5919(05)70023-5.


Based on experience, the authors believe that MR imaging is a useful tool in the assessment and management of stress fractures and stress phenomenum of bone. The use of standard, graded MR evaluation aides the assessment of a repetitive stress injury to bone by allowing a more accurate diagnosis of bone injury. This more accurate assessment has predictive value in estimating the duration of disability. The use of a standard, graded MR evaluation aides the management of repetitive stress injuries to bone by defining a low grade of stress fracture (i.e., grade 1 and 2) injuries and a high grade of stress fracture (i.e., grade 3 and 4). This grading system has implications in the management of stress fractures, allowing more individualized treatment for the elite athlete.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / diagnosis*
  • Athletic Injuries / therapy
  • Bone and Bones / injuries
  • Bone and Bones / pathology*
  • Diagnosis, Differential
  • Fractures, Stress / classification
  • Fractures, Stress / diagnosis*
  • Fractures, Stress / therapy*
  • Humans
  • Leg Injuries / diagnosis*
  • Leg Injuries / therapy
  • Magnetic Resonance Imaging / methods*
  • Treatment Outcome