High Frequency of Foot Insufficiency Fractures in Patients With Rheumatic Diseases Referred for Magnetic Resonance Imaging: What Is the Clinical Relevance?

We greatly appreciated the manuscript by Björn Buehring et al 1 about the high prevalence of foot insufficiency fractures (IFs) in patients with inflammatory rheumatic and musculoskeletal diseases (RMDs) who were referred for magnetic resonance imaging (MRI) because of foot pain, for several reasons. First, in using MRI, IFs were frequently diagnosed (7.5%) in referred patients with RMDs who had foot pain, and even more frequently in patients with inflammatory RMDs than in patients with noninflammatory RMDs (9.1% vs 4.1%, respectively).