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  • Title: [Magnetic resonance imaging of tibial periostitis].
    Author: Meyer X, Boscagli G, Tavernier T, Aczel F, Weber F, Legros R, Charlopain P, Martin JP.
    Journal: J Radiol; 1998 Jan; 79(1):45-8. PubMed ID: 9757220.
    Abstract:
    Tibial periostitis frequently occurs in athletes. We present our experience with MRI in a series of 7 patients (11 legs) with this condition. The clinical presentation and scintigraphic scanning suggested the diagnosis. MRI exploration of 11 legs demonstrated a high band-like juxta-osseous signal enhancement of SE and IR T2 weighted sequences in 6 cases, a signal enhancement after i.v. contrast administration in 4. Tibial periostitis is a clinical diagnosis and MRI and scintigraphic findings can be used to assure the differential diagnosis in difficult cases with stress fracture. MRI can visualize juxta-osseous edematous and inflammatory reactions and an increased signal would appear to be characteristic when the band-like image is fixed to the periosteum.
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