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DOI: 10.1055/s-0045-1809074
Track and Field Injuries: Imaging Aspects

Abstract
Track and field sports, also known as athletics, encompassing sports modalities such as running, jumping, and throwing, is a highly demanding sport with significant risk of injury. This review discusses the epidemiology, imaging techniques, and especially typical injury patterns associated with various track and field disciplines. Elite athletes, who undergo rigorous training and repetitive high-impact activities, are particularly prone to musculoskeletal injuries, with lower extremity injuries, such as muscle strains, ligament sprains, and bone stress injuries, the most common. Injury patterns vary by discipline due to specific biomechanical requirements. For instance, sprinting and jumping are more commonly linked to injuries of the foot and ankle; throwing sports often result in shoulder and elbow injuries. Advanced imaging, especially magnetic resonance imaging, plays a pivotal role in early diagnosis, allowing precise assessment of injury severity, informing prognosis, and supporting tailored treatment planning. Through detailed imaging insights and illustrations, we provide an up-to-date review on the most common injuries in track and field sports.
Publication History
Article published online:
16 July 2025
© 2025. Thieme. All rights reserved.
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References
- 1 Canata GL, Casale V, Ferrario A, Calderoni EF, Zanon G, Bidoglio F. Athletics, sprints, hurdles, high jump, long jump, triple jump, distance running. In: Rocha Piedade S, Neyret P, Espregueira-Mendes J, Cohen M, Hutchinson MR. eds. Specific Sports-Related Injuries. Cham, Switzerland: Springer International; 2021: 187-196
- 2 Edouard P, Caumeil B, Giroux C. et al. Epidemiology of injury complaints in elite sprinting athletes in athletics (track and field). Appl Sci (Basel) 2023; 13 (14) 8105
- 3 Kijowski R, Tuite MJ. Imaging of track and field injuries. In: Guermazi A, Roemer FW, Crema MD. eds. Imaging in Sports: Specific Musculoskeletal Injuries. Cham, Switzerland: Springer International; 2016: 623-640
- 4 Watson MD, DiMartino PP. Incidence of injuries in high school track and field athletes and its relation to performance ability. Am J Sports Med 1987; 15 (03) 251-254
- 5 D'Souza D. Track and field athletics injuries—a one-year survey. Br J Sports Med 1994; 28 (03) 197-202
- 6 Zemper ED. Track and field injuries. Med Sport Sci 2005; 48: 138-151
- 7 Jacobsson J, Timpka T, Kowalski J, Nilsson S, Ekberg J, Renström P. Prevalence of musculoskeletal injuries in Swedish elite track and field athletes. Am J Sports Med 2012; 40 (01) 163-169
- 8 Edouard P. The burden and epidemiology of injury in track and field. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 3-12
- 9 Tenforde AS, Kraus E, Fredericson M. Bone stress injuries in runners. Phys Med Rehabil Clin N Am 2016; 27 (01) 139-149
- 10 Bennell KL, Malcolm SA, Thomas SA. et al. Risk factors for stress fractures in track and field athletes. A twelve-month prospective study. Am J Sports Med 1996; 24 (06) 810-818
- 11 Boden BP, Osbahr DC. High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg 2000; 8 (06) 344-353
- 12 Boden BP, Osbahr DC, Jimenez C. Low-risk stress fractures. Am J Sports Med 2001; 29 (01) 100-111
- 13 Gaeta M, Minutoli F, Scribano E. et al. CT and MR imaging findings in athletes with early tibial stress injuries: comparison with bone scintigraphy findings and emphasis on cortical abnormalities. Radiology 2005; 235 (02) 553-561
- 14 Kiuru MJ, Pihlajamaki HK, Hietanen HJ, Ahovuo JA. MR imaging, bone scintigraphy, and radiography in bone stress injuries of the pelvis and the lower extremity. Acta Radiol 2002; 43 (02) 207-212
- 15 Kijowski R, Choi J, Shinki K, Del Rio AM, De Smet A. Validation of MRI classification system for tibial stress injuries. AJR Am J Roentgenol 2012; 198 (04) 878-884
- 16 Fredericson M, Bergman AG, Hoffman KL, Dillingham MS. Tibial stress reaction in runners. Correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med 1995; 23 (04) 472-481
- 17 Arendt EA, Griffiths HJ. The use of MR imaging in the assessment and clinical management of stress reactions of bone in high-performance athletes. Clin Sports Med 1997; 16 (02) 291-306
- 18 Nattiv A. Stress fractures and bone health in track and field athletes. J Sci Med Sport 2000; 3 (03) 268-279
- 19 Linklater JM, Hamilton B, Carmichael J, Orchard J, Wood DG. Hamstring injuries: anatomy, imaging, and intervention. Semin Musculoskelet Radiol 2010; 14 (02) 131-161
- 20 Iatropoulos SA, Wheeler PC. Hamstring muscle injuries in athletics. Phys Sportsmed 2024; 52 (02) 103-114
- 21 Meron A, Saint-Phard D. Track and field throwing sports: injuries and prevention. Curr Sports Med Rep 2017; 16 (06) 391-396
- 22 Paoletta M, Moretti A, Liguori S. et al. Ultrasound imaging in sport-related muscle injuries: pitfalls and opportunities. Medicina (Kaunas) 2021; 57 (10) 1040
- 23 Vermeulen R, Van Der Made AD, Tol JL, Kerkhoffs G. Acute and chronic hamstring injuries. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 167-175
- 24 Lee JC, Mitchell AWM, Healy JC. Imaging of muscle injury in the elite athlete. Br J Radiol 2012; 85 (1016): 1173-1185
- 25 Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD. Imaging of muscle injuries in sports medicine: Sports Imaging Series. Radiology 2017; 282 (03) 646-663
- 26 Kassarjian A, Rodrigo RM, Santisteban JM. Intramuscular degloving injuries to the rectus femoris: findings at MRI. AJR Am J Roentgenol 2014; 202 (05) W475-80
- 27 Bordalo M, de Aysa PN, Helito PVP, Djadoun MA, Gulde MLS, Alonso JM. Degloving intramuscular injuries of the semimembranosus and adductor longus muscles in adolescent soccer players. Skeletal Radiol 2025; 54 (04) 887-892
- 28 Mueller-Wohlfahrt HW, Haensel L, Mithoefer K. et al. Terminology and classification of muscle injuries in sport: the Munich consensus statement. Br J Sports Med 2013; 47 (06) 342-350
- 29 Pollock N, James SLJ, Lee JC, Chakraverty R. British athletics muscle injury classification: a new grading system. Br J Sports Med 2014; 48 (18) 1347-1351
- 30 Yamada AF, Godoy IRB, Pecci Neto L, Taneja AK, Hernandez Filho G, Skaf AY. Diagnostic imaging of muscle injuries in sports medicine: new concepts and radiological approach. Curr Radiol Rep 2017; 5 (07) 27
- 31 Bordalo M, Arnaiz J, Yamashiro E, Al-Naimi MR. Imaging of muscle injuries: MR imaging-ultrasound correlation. Magn Reson Imaging Clin N Am 2023; 31 (02) 163-179
- 32 Minssen L, Renoux J, Abar G. et al. Three-dimensional turbo spin-echo (TSE) MRI assessment of indirect acute muscle injuries in athletes: comparison with two-dimensional TSE MRI. Eur Radiol 2023; 33 (01) 587-594
- 33 Isern-Kebschull J, Mechó S, Pedret C. et al. Muscle healing in sports injuries: MRI findings and proposed classification based on a single institutional experience and clinical observation. Radiographics 2024; 44 (08) e230147
- 34 Isern-Kebschull J, Pedret C, Mechó S. et al. MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool. Insights Imaging 2022; 13 (01) 203
- 35 Askling CM, Tengvar M, Saartok T, Thorstensson A. Proximal hamstring strains of stretching type in different sports: injury situations, clinical and magnetic resonance imaging characteristics, and return to sport. Am J Sports Med 2008; 36 (09) 1799-1804
- 36 Askling CM, Tengvar M, Saartok T, Thorstensson A. Acute first-time hamstring strains during slow-speed stretching: clinical, magnetic resonance imaging, and recovery characteristics. Am J Sports Med 2007; 35 (10) 1716-1724
- 37 Lundberg Zachrisson A, Ivarsson A, Desai P, Karlsson J, Grau S. Risk factors for overuse injuries in a cohort of elite Swedish track and field athletes. BMC Sports Sci Med Rehabil 2021; 13 (01) 73
- 38 Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002; 36 (02) 95-101
- 39 Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, Comstock RD. Epidemiology of knee injuries among U.S. high school athletes, 2005/2006–-2010/2011. Med Sci Sports Exerc 2013; 45 (03) 462-469
- 40 Zanon G, Ferranti Calderoni E, Vascellari A. Management of track and field: knee meniscal and chondral injuries. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 199-206
- 41 Tenforde AS, Sayres LC, McCurdy ML, Collado H, Sainani KL, Fredericson M. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R 2011; 3 (02) 125-131 , quiz 131
- 42 Collado H, Fredericson M. Patellofemoral pain syndrome. Clin Sports Med 2010; 29 (03) 379-398
- 43 Brown MW, Brown RC. Athletic injuries. Trauma 1999; 1 (04) 271-278
- 44 Chhabra A, Subhawong TK, Carrino JA. A systematised MRI approach to evaluating the patellofemoral joint. Skeletal Radiol 2011; 40 (04) 375-387
- 45 Canata GL, Casale V, Pastrone A, Vascellari A, Venturin D. Patellofemoral overuse injuries and anterior knee pain. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 207-219
- 46 Longo UG, Rittweger J, Garau G. et al. Patellar tendinopathy in master track and field athletes: influence of impact profile, weight, height, age and gender. Knee Surg Sports Traumatol Arthrosc 2011; 19 (03) 508-512
- 47 Jarraya M, Crema MD, Engebretsen L. et al. Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics. Br J Sports Med 2018; 52 (07) 465-469
- 48 O'Keeffe SA, Hogan BA, Eustace SJ, Kavanagh EC. Overuse injuries of the knee. Magn Reson Imaging Clin N Am 2009; 17 (04) 725-739 , vii
- 49 Peace KA, Lee JC, Healy J. Imaging the infrapatellar tendon in the elite athlete. Clin Radiol 2006; 61 (07) 570-578
- 50 Hutchinson LA, Lichtwark GA, Willy RW, Kelly LA. The iliotibial band: a complex structure with versatile functions. Sports Med 2022; 52 (05) 995-1008
- 51 Baker RL, Fredericson M. Iliotibial band syndrome in runners: biomechanical implications and exercise interventions. Phys Med Rehabil Clin N Am 2016; 27 (01) 53-77
- 52 van der Worp MP, van der Horst N, de Wijer A, Backx FJG, Nijhuis-van der Sanden MWG. Iliotibial band syndrome in runners: a systematic review. Sports Med 2012; 42 (11) 969-992
- 53 Sher I, Umans H, Downie SA, Tobin K, Arora R, Olson TR. Proximal iliotibial band syndrome: what is it and where is it?. Skeletal Radiol 2011; 40 (12) 1553-1556
- 54 Flato R, Passanante GJ, Skalski MR, Patel DB, White EA, Matcuk Jr GR. The iliotibial tract: imaging, anatomy, injuries, and other pathology. Skeletal Radiol 2017; 46 (05) 605-622
- 55 Monetti G. Diagnostic imaging in track and field athletes. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 61-69
- 56 Kreitner KF, Ferber A, Grebe P, Runkel M, Berger S, Thelen M. Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging. Eur Radiol 1999; 9 (03) 519-524
- 57 Altink JN, Paget LDA, Blom RP, Dahmen J, Dalmau-Pastor M, Kerkhoffs G. Ankle sprains and instability. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 263-272
- 58 Miranda FC, Kihara Filho EN, Prado MP, Rosemberg LA, Santos DDCB, Taneja AK. Acute ankle injuries: association between sprain severity and ancillary findings. Einstein (Sao Paulo) 2023; 21: eAO0162
- 59 Chan VO, Moran DE, Shine S, Eustace SJ. Medial joint line bone bruising at MRI complicating acute ankle inversion injury: what is its clinical significance?. Clin Radiol 2013; 68 (10) e519-e523
- 60 Labovitz JM, Schweitzer ME, Larka UB, Solomon MG. Magnetic resonance imaging of ankle ligament injuries correlated with time. J Am Podiatr Med Assoc 1998; 88 (08) 387-393
- 61 do Amaral E Castro A, Godoy-Santos AL, Taneja AK. Advanced imaging in the chronic lateral ankle instability: an algorithmic approach. Foot Ankle Clin 2023; 28 (02) 265-282
- 62 Takao M, Iwashita K, Jujo Y, Katakura M, Shimozono Y. Heel spurs and plantar fasciitis in runners. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 283-293
- 63 Elias DA, Carne A, Bethapudi S, Engebretsen L, Budgett R, O'Connor P. Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics. Skeletal Radiol 2013; 42 (12) 1645-1655
- 64 Akram R, Duarte Silva F, De Silva LNM, Gupta A, Basha A, Chhabra A. Three-dimensional MRI of foot and ankle: current perspectives and advantages over 2D MRI. Semin Roentgenol 2024; 59: 447-466
- 65 Bajaj S, Chhabra A, Taneja AK. 3D isotropic MRI of ankle: review of literature with comparison to 2D MRI. Skeletal Radiol 2024; 53 (05) 825-846
- 66 Sukanen M, Khair RM, Ihalainen JK. et al. Achilles tendon and triceps surae muscle properties in athletes. Eur J Appl Physiol 2024; 124 (02) 633-647
- 67 Van Dijk PAD, França G, Dahmen J, Kerkhoffs G, D'Hooghe P, Karlsson J. Achilles tendon, calf, and peroneal tendon injuries. In: Canata GL, D'Hooghe P, Hunt KJ, Kerkhoffs G, Longo UG. eds. Management of Track and Field Injuries. Cham, Switzerland: Springer International; 2022: 235-246
- 68 Pass B, Robinson P, Ha A, Levine B, Yablon CM, Rowbotham E. The Achilles tendon: imaging diagnoses and image-guided interventions-AJR Expert Panel narrative review. AJR Am J Roentgenol 2022; 219 (03) 355-368
- 69 Flores DV, Goes PK, Damer A, Huang BK. The heel complex: anatomy, imaging, pathologic conditions, and treatment. Radiographics 2024; 44 (04) e230163
- 70 Flores DV, Bohyn C, Murray TÉ, Murphy DT, Cresswell M. Dynamic US of musculoskeletal disorders: a pictorial review with emphasis on techniques. Radiographics 2023; 43 (08) e220130
- 71 Schmitt H, Hansmann HJ, Brocai DR, Loew M. Long term changes of the throwing arm of former elite javelin throwers. Int J Sports Med 2001; 22 (04) 275-279
- 72 Neusel E, Arza D, Rompe G, Steinbrück K. Long-term roentgenologic studies in peak performance javelin throwers [in German]. Sportverletz Sportschaden 1987; 1 (02) 76-80
- 73 Morriss C, Bartlett R. Biomechanical factors critical for performance in the men's javelin throw. Sports Med 1996; 21 (06) 438-446
- 74 Bartlett RM, Best RJ. The biomechanics of javelin throwing: a review. J Sports Sci 1988; 6 (01) 1-38
- 75 Tuite MJ, Petersen BD, Wise SM, Fine JP, Kaplan LD, Orwin JF. Shoulder MR arthrography of the posterior labrocapsular complex in overhead throwers with pathologic internal impingement and internal rotation deficit. Skeletal Radiol 2007; 36 (06) 495-502
- 76 Patel NB, Thomas S, Lazarus ML. Throwing injuries of the upper extremity. Radiol Clin North Am 2013; 51 (02) 257-277
- 77 Taneja AK, Kattapuram SV, Chang CY, Simeone FJ, Bredella MA, Torriani M. MRI findings of rotator cuff myotendinous junction injury. AJR Am J Roentgenol 2014; 203 (02) 406-411
- 78 Haider S, Cabrera A, Thakur U, Xi Y, Chhabra A. Single-plane 3-dimensional isotropic spin-echo magnetic resonance imaging reconstructions of shoulder exhibit superior correlation to surgical findings than 2-dimensional Dixon multiplanar magnetic resonance imaging. J Comput Assist Tomogr 2024; 48 (02) 273-282
- 79 Daniels SP, Gyftopoulos S. 3D MRI of the shoulder. Semin Musculoskelet Radiol 2021; 25 (03) 480-487
- 80 Ouellette HA, Palmer W, Torriani M, Bredella MA. Throwing elbow in adults. Semin Musculoskelet Radiol 2010; 14 (04) 412-418
- 81 Dines JS, Jones KJ, Kahlenberg C, Rosenbaum A, Osbahr DC, Altchek DW. Elbow ulnar collateral ligament reconstruction in javelin throwers at a minimum 2-year follow-up. Am J Sports Med 2012; 40 (01) 148-151
- 82 Delport AG, Zoga ACMR. MR and CT arthrography of the elbow. Semin Musculoskelet Radiol 2012; 16 (01) 15-26
- 83 Ouellette H, Bredella M, Labis J, Palmer WE, Torriani M. MR imaging of the elbow in baseball pitchers. Skeletal Radiol 2008; 37 (02) 115-121
- 84 Aggarwal VA, Thakur U, Silva FD. et al. Flexed elbow, abducted shoulder, forearm supinated (FABS) reconstruction from three-dimensional elbow MRI: diagnostic performance assessment in biceps head anatomy and pathology. Clin Radiol 2024; 79 (04) e567-e573