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Medial tibial stress syndrome

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https://www.readbyqxmd.com/read/28581815/biomechanical-factors-associated-with-achilles-tendinopathy-and-medial-tibial-stress-syndrome-in-runners
#1
James Becker, Stanley James, Robert Wayner, Louis Osternig, Li-Shan Chou
BACKGROUND: There is disagreement in the literature regarding whether the excessive excursion or velocity of rearfoot eversion is related to the development of 2 common running injuries: Achilles tendinopathy (AT) and medial tibial stress syndrome (MTSS). An alternative hypothesis suggests that the duration of rearfoot eversion may be an important factor. However, the duration of eversion has received relatively little attention in the biomechanics literature. HYPOTHESIS: Runners with AT or MTSS will demonstrate a longer duration of eversion but not greater excursion or velocity of eversion compared with healthy controls...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28446388/medial-shoe-ground-pressure-and-specific-running-injuries-a-1-year-prospective-cohort-study
#2
René B K Brund, Sten Rasmussen, Rasmus O Nielsen, Uwe G Kersting, Uffe Laessoe, Michael Voigt
OBJECTIVES: Achilles tendinitis, plantar fasciopathy and medial tibial stress syndrome injuries (APM-injuries) account for approximately 25% of the total number of running injuries amongst recreational runners. Reports on the association between static foot pronation and APM-injuries are contradictory. Possibly, dynamic measures of pronation may display a stronger relationship with the risk of APM-injuries. Therefore, the purpose of the present study was to investigate if running distance until the first APM-injury was dependent on the foot balance during stance phase in recreational male runners...
April 15, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28413452/ankle-and-toe-muscle-strength-characteristics-in-runners-with-a-history-of-medial-tibial-stress-syndrome
#3
Junya Saeki, Masatoshi Nakamura, Sayaka Nakao, Kosuke Fujita, Ko Yanase, Katsuyuki Morishita, Noriaki Ichihashi
BACKGROUND: A high proportion of flexor digitorum longus attachment is found at the posteromedial border of the tibia, which is the most common location of medial tibial stress syndrome (MTSS). Therefore, plantar flexion strength of the lesser toes could be related to MTSS; however, the relationship between MTSS and muscle strength of the hallux and lesser toes is not yet evaluated due to the lack of quantitative methods. This study investigated the muscle strength characteristics in runners with a history of MTSS by using a newly developed device to measure the muscle strength of the hallux, lesser toes, and ankle...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28207961/muscle-stiffness-of-posterior-lower-leg-in-runners-with-a-history-of-medial-tibial-stress-syndrome
#4
J Saeki, M Nakamura, S Nakao, K Fujita, K Yanase, N Ichihashi
Previous history of medial tibial stress syndrome (MTSS) is a risk factor for MTSS relapse, which suggests that there might be some physical factors that are related to MTSS development in runners with a history of MTSS. The relationship between MTSS and muscle stiffness can be assessed in a cross-sectional study that measures muscle stiffness in subjects with a history of MTSS, who do not have pain at the time of measurement, and in those without a history of MTSS. The purpose of this study was to compare the shear elastic modulus, which is an index of muscle stiffness, of all posterior lower leg muscles of subjects with a history of MTSS and those with no history and investigate which muscles could be related to MTSS...
February 16, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28179260/medial-tibial-stress-syndrome-can-be-diagnosed-reliably-using-history-and-physical-examination
#5
M Winters, E W P Bakker, M H Moen, C C Barten, R Teeuwen, A Weir
BACKGROUND: The majority of sporting injuries are clinically diagnosed using history and physical examination as the cornerstone. There are no studies supporting the reliability of making a clinical diagnosis of medial tibial stress syndrome (MTSS). AIM: Our aim was to assess if MTSS can be diagnosed reliably, using history and physical examination. We also investigated if clinicians were able to reliably identify concurrent lower leg injuries. METHODS: A clinical reliability study was performed at multiple sports medicine sites in The Netherlands...
February 8, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28067582/the-relationship-of-hip-muscle-performance-to-leg-ankle-and-foot-injuries-a-systematic-review
#6
REVIEW
Nili Steinberg, Gali Dar, Martin Dunlop, James Edmund Gaida
OBJECTIVES: Hip control affects movement and muscle firing patterns in the leg, ankle and foot, and may contribute to overuse injuries. Muscle performance can be measured as strength, endurance or muscle activation patterns. Our objective was to systematically review whether hip muscle performance is associated with leg, ankle and foot injuries. DATA SOURCES: A structured and comprehensive search of six medical literature databases was combined with forward and backward citation tracking (AMED, CINAHL, EMBASE, Medline, Scopus and SportDiscus)...
February 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27835043/risk-factors-for-medial-tibial-stress-syndrome-in-active-individuals-an-evidence-based-review
#7
REVIEW
Zachary K Winkelmann, Dustin Anderson, Kenneth E Games, Lindsey E Eberman
Reference/Citation: Hamstra-Wright KL, Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. Br J Sports Med. 2015;49(6):362-369. CLINICAL QUESTION: What factors put physically active individuals at risk to develop medial tibial stress syndrome (MTSS)? DATA SOURCES: The authors performed a literature search of CINAHL, the Cochrane Central Register of Controlled Trials, EMBASE, and MEDLINE from each database's inception to July 2013...
December 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27729482/medial-tibial-stress-syndrome-in-active-individuals-a-systematic-review-and-meta-analysis-of-risk-factors
#8
Mark F Reinking, Tricia M Austin, Randy R Richter, Mary M Krieger
CONTEXT: Medial tibial stress syndrome (MTSS) is a common condition in active individuals and presents as diffuse pain along the posteromedial border of the tibia. OBJECTIVE: To use cross-sectional, case-control, and cohort studies to identify significant MTSS risk factors. DATA SOURCES: Bibliographic databases (PubMed, Scopus, CINAHL, SPORTDiscus, EMBASE, EBM Reviews, PEDRo), grey literature, electronic search of full text of journals, manual review of reference lists, and automatically executed PubMed MTSS searches were utilized...
May 2017: Sports Health
https://www.readbyqxmd.com/read/27693442/hip-abductor-strength-and-lower-extremity-running-related-injury-in-distance-runners-a-systematic-review
#9
REVIEW
Matthew D Mucha, Wade Caldwell, Emily L Schlueter, Carly Walters, Amy Hassen
OBJECTIVES: Determine the association between hip abduction strength and lower extremity running related injury in distance runners. DESIGN: Systematic review. METHODS: Prospective longitudinal and cross sectional studies that quantified hip abduction strength and provided diagnosis of running related injury in distance runners were included and assessed for quality. Effect size was calculated for between group differences in hip abduction strength...
April 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27640922/shockwave-treatment-for-medial-tibial-stress-syndrome-a-randomized-double-blind-sham-controlled-pilot-trial
#10
Phil Newman, Gordon Waddington, Roger Adams
OBJECTIVES: Up to 35% of runners develop medial tibial stress syndrome (MTSS) which often results in lengthy disruption to training and sometimes affects daily activities. There is currently no high quality evidence to support any particular intervention for MTSS. This study aims to investigate the effect of shockwave therapy for MTSS. DESIGN: A randomized, sham-controlled, pilot trial in a university-based health clinic including 28 active adults with MTSS. METHODS: Intervention included standard dose shockwave therapy for the experimental group versus sham dose for the control group, delivered during Week 1-3, 5 and 9...
March 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27632881/atrophy-and-depigmentation-after-pretibial-corticosteroid-injection-for-medial-tibial-stress-syndrome-two-case-reports
#11
Miette F Loopik, Marinus Winters, Maarten H Moen
INTRODUCTION: No reports have been published on the results of corticosteroid injections for medial tibial stress syndrome (MTSS). CASE PRESENTATION: The authors present 2 cases of women with MTSS who showed atrophy and depigmentation of the skin after pretibial corticosteroid injections. Case 1 is an 18-y-old woman presenting with pain in her lower leg for 12 mo. No improvement was noticed after conservative treatment, so she received local injections with corticosteroids...
December 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27612357/short-term-results-of-a-rehabilitation-program-for-service-members-with-lower-leg-pain-and-the-evaluation-of-patient-characteristics
#12
Mariëtte Z Meulekamp, Wieteke Sauter, Marieke Buitenhuis, Agali Mert, Peter van der Wurff
INTRODUCTION: Lower leg pain (LLP), including medial tibial stress syndrome (MTSS) and chronic exertional compartment syndrome (CECS), remains a major problem for the military. OBJECTIVE: Evaluation of patient characteristics and short-term results of the rehabilitation program for service members used in the Military Rehabilitation Centre Aardenburg. METHODS: This retrospective study includes 161 service members of the Netherlands Armed Forces...
September 2016: Military Medicine
https://www.readbyqxmd.com/read/27476374/are-ultrasonographic-findings-like-periosteal-and-tendinous-edema-associated-with-medial-tibial-stress-syndrome-a-case-control-study
#13
Marinus Winters, Paulien Bon, Sascha Bijvoet, Eric W P Bakker, Maarten H Moen
OBJECTIVES: Medial tibial stress syndrome (MTSS) is one of the most common sporting injuries. As of yet, the development of effective therapeutic interventions to treat MTSS is hindered by the fact that its pathology is unknown. Our aim was to explore the pathology of MTSS, by assessing whether the presence of MTSS is related to periosteal, bony or tendinous abnormalities in the lower leg. DESIGN: Case-control study. METHODS: Participants with MTSS and athletic control participants were recruited from the same (high-risk) base population...
February 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27451420/prevention-and-treatment-of-exercise-related-leg-pain-in-young-soldiers-a-review-of-the-literature-and-current-practice-in-the-dutch-armed-forces
#14
REVIEW
Wes O Zimmermann, P H Helmhout, A Beutler
Overuse injuries of the leg are a common problem for young soldiers. This article reviews the literature concerning the prevention and treatment of exercise related leg pain in military settings and presents the latest developments in proposed mechanisms and treatments. Current practice and treatment protocols from the Dutch Armed Forces are reviewed, with an emphasis on the most prevalent conditions of medial tibial stress syndrome and chronic exertional compartment syndrome. The conclusion is that exercise related leg pain in the military is an occupational problem that deserves further study...
April 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27359450/medial-tibial-stress-syndrome-reliably-diagnosed-using-history-and-clinical-examination-195-board-32-june-1-11-00-am-12-30-pm
#15
Marinus Winters, Carl C Barten, Rens Teeuwen, Eric W P Bakker, Maarten H Moen, Frank J G Backx, Adam Weir
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27129903/shear-modulus-of-the-lower-leg-muscles-in-patients-with-medial-tibial-stress-syndrome
#16
Kei Akiyama, Ryota Akagi, Kuniaki Hirayama, Norikazu Hirose, Hideyuki Takahashi, Toru Fukubayshi
This study aimed to investigate the in vivo kinematics of shear modulus of the lower leg muscles in patients with medial tibial stress syndrome (MTSS). The study population included 46 limbs with MTSS and 40 healthy limbs. The shear modulus of the medial head of the gastrocnemius, lateral head of the gastrocnemius, soleus, peroneus longus and tibialis anterior muscles were measured using shear wave ultrasound elastography. As a result, the shear modulus of the lower leg muscles was significantly greater in patients with MTSS than in healthy patients (p < 0...
August 2016: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27066291/medial-tibial-stress-syndrome-muscles-located-at-the-site-of-pain
#17
Ato Ampomah Brown
Objective. The purpose of this study was to examine the relationship between the location of the MTSS pain (posteromedial border of tibia) and the muscles that originate from that site. Method. The study was conducted in the Department of Anatomy of the School of Medical Sciences, University of Cape Coast, and involved the use of 22 cadaveric legs (9 paired and 4 unpaired) from 11 males and 2 females. Findings. The structures that were thus observed to attach directly to the posteromedial border of the tibia were the soleus, the flexor digitorum longus, and the deep crural fascia...
2016: Scientifica
https://www.readbyqxmd.com/read/27002328/stress-fractures-pathophysiology-clinical-presentation-imaging-features-and-treatment-options
#18
REVIEW
George R Matcuk, Scott R Mahanty, Matthew R Skalski, Dakshesh B Patel, Eric A White, Christopher J Gottsegen
Stress fracture, in its most inclusive description, includes both fatigue and insufficiency fracture. Fatigue fractures, sometimes equated with the term "stress fractures," are most common in runners and other athletes and typically occur in the lower extremities. These fractures are the result of abnormal, cyclical loading on normal bone leading to local cortical resorption and fracture. Insufficiency fractures are common in elderly populations, secondary to osteoporosis, and are typically located in and around the pelvis...
August 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26888880/fasciotomy-for-deep-posterior-compartment-syndrome-in-the-lower-leg-a-prospective-study
#19
Michiel B Winkes, Aniek P M van Zantvoort, Johan A de Bruijn, Stef J M Smeets, Marike van der Cruijsen-Raaijmakers, Adwin R Hoogeveen, Marc R Scheltinga
BACKGROUND: Patients with exercise-induced lower leg pain may suffer from deep posterior chronic exertional compartment syndrome (dp-CECS). Current evidence for the efficacy of surgery is based on retrospective studies. Effects of fasciotomy on symptoms associated with dp-CECS have not been systematically studied, and reasons for unsuccessful surgery are unknown. PURPOSE: To report the short- and long-term effects of fasciotomy on pain, tightness, and cramps in a prospective cohort of patients with isolated dp-CECS...
May 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26884223/running-retraining-to-treat-lower-limb-injuries-a-mixed-methods-study-of-current-evidence-synthesised-with-expert-opinion
#20
REVIEW
C J Barton, D R Bonanno, J Carr, B S Neal, P Malliaras, A Franklyn-Miller, H B Menz
IMPORTANCE: Running-related injuries are highly prevalent. OBJECTIVE: Synthesise published evidence with international expert opinion on the use of running retraining when treating lower limb injuries. DESIGN: Mixed methods. METHODS: A systematic review of clinical and biomechanical findings related to running retraining interventions were synthesised and combined with semistructured interviews with 16 international experts covering clinical reasoning related to the implementation of running retraining...
May 2016: British Journal of Sports Medicine
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