Cause: Stresses (water-logging, cold, water or nutrient shortage, 2,4-D damage, banana streak virus and bunchy top) that limit the normal elongation of the true stem and extrusion of the emerging bunch. Some varieties are tissue-cultured off-types and more sensitive.
Solution: Choose varieties less prone to choke throat and cull tissue-cultured off-types showing these symptoms. Improve management to limit stresses suffered by the plant. Always be extremely careful with chemical applications.