Radiologic Imaging of Lower Leg Injuries

  • L. S. Kox
  • Jan L. M. A. Gielen
  • Mario Maas


Lower leg injuries are a common problem in athletes. One-third of injuries in long-distance runners are lower leg injuries (Brewer and Gregory 2012). The spectrum of lower leg injuries in athletes contains a number of injuries with very similar presentations. In a retrospective review assessing 150 athletes with exercise-induced leg pain, 33 % had chronic compartment syndrome, 25 % had a stress fracture, 13 % had medial tibial stress syndrome and 10 % had a nerve entrapment syndrome (Clanton and Solcher 1994). Another study among 98 patients with recurrent lower leg pain reported medial tibial stress syndrome in 42 %, chronic compartment syndrome in 27 % and entrapment of the superficial peroneal nerve in 13 % of patients (Styf 1988). This chapter aims to offer a few key points that differentiate between these injuries both in clinical presentation and in imaging characteristics.


Stress Fracture Popliteal Artery Bone Marrow Oedema Medial Gastrocnemius Fascial Defect 
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.



Ankle-brachial index


Body mass index = mass (kg)/(height (m))2


Chronic exertional compartment syndrome


Computed tomography


Computed tomographic arteriography


Fat suppression


Maximal intensity multiplanar reconstruction


Multiplanar reconstruction


Magnetic resonance imaging


Musculotendinous junction


Medial tibial stress syndrome


Range of motion


Signal intensity


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • L. S. Kox
    • 1
  • Jan L. M. A. Gielen
    • 2
    • 3
    • 4
  • Mario Maas
    • 1
  1. 1.Department of RadiologyAcademic Medical Center (AMC)AmsterdamThe Netherlands
  2. 2.Department of RadiologyAntwerp University HospitalEdegemBelgium
  3. 3.Department of Sports MedicineAntwerp University HospitalEdegemBelgium
  4. 4.Department of MedicineAntwerp UniversityEdegemBelgium

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