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Medial tibial stress syndrome

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...
October 11, 2016: Sports Health
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...
September 20, 2016: Journal of Science and Medicine in Sport
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...
August 5, 2016: Journal of Science and Medicine in Sport
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: We present two cases of women with MTSS who showed atrophy and depigmentation of the skin after pretibial corticosteroid injections. Case 1 is an 18-year-old woman presenting with pain in her lower leg for twelve months. No improvement was noticed after conservative treatment. Therefore she received local injections with corticosteroids...
August 24, 2016: Journal of Sport Rehabilitation
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
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...
July 18, 2016: Journal of Science and Medicine in Sport
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...
July 22, 2016: Journal of the Royal Army Medical Corps
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
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
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
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
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
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
Shintarou Kudo, Yasuhiko Hatanaka
PURPOSE: To investigate the association between medial tibial stress syndrome (MTSS) and morphology and flexibility of the foot arches. METHODS: 131 feet from 74 healthy subjects and 31 feet from 27 patients with MTSS were classified as normal feet (n=78 in 40 subjects), flat feet (n=53 in 34 subjects), or MTSS feet (n=31 in 27 patients). The medial longitudinal arch (MLA) ratio and the transverse arch length (TAL) were measured in both rearfoot and forefoot loading positions...
December 2015: Journal of Orthopaedic Surgery
M Edama, H Onishi, M Kubo, T Takabayashi, E Yokoyama, T Inai, H Watanabe, S Nashimoto, Y Koga, I Kageyama
Although women reportedly have a higher prevalence of medial tibial stress syndrome (MTSS) than men, the possible role of gender-based anatomical differences has not been investigated. The aim of the present study was to investigate the presence of gender-based differences in the range of muscle attachments along the entire medial tibia, the proportion of muscle attachment at the middle and distal thirds of the medial margin of the tibia, the structure of the crural fascia, and chiasm position. The specimens were 100 legs of 55 Japanese cadavers...
December 10, 2015: Scandinavian Journal of Medicine & Science in Sports
Sathish Rajasekaran, Jonathan T Finnoff
Exertional leg pain is a common condition seen in runners and the general population. Given the broad differential diagnosis of this complaint, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation, diagnostic evaluation, and management of common causes that include medial tibial stress syndrome, tibial bone stress injury, chronic exertional compartment syndrome, arterial endofibrosis, popliteal artery entrapment syndrome, and entrapment of the common peroneal, superficial peroneal, and saphenous nerves...
February 2016: Physical Medicine and Rehabilitation Clinics of North America
Marinus Winters, Maarten H Moen, Wessel O Zimmermann, Robert Lindeboom, Adam Weir, Frank Jg Backx, Eric Wp Bakker
BACKGROUND: At present, there is no validated patient-reported outcome measure (PROM) for patients with medial tibial stress syndrome (MTSS). AIM: Our aim was to select and validate previously generated items and create a valid, reliable and responsive PROM for patients with MTSS: the MTSS score. METHODS: A prospective cohort study was performed in multiple sports medicine, physiotherapy and military facilities in the Netherlands. Participants with MTSS filled out the previously generated items for the MTSS score on 3 occasions...
October 2016: British Journal of Sports Medicine
Vahid Sobhani, Abolfazl Shakibaee, Amidoddin Khatibi Aghda, Mohammad Kazem Emami Meybodi, Abbasali Delavari, Dariush Jahandideh
BACKGROUND: Medial Tibial Stress Syndrome (MTSS) is common among military recruits and to our knowledge; the factors that might put the military recruits at higher risk of incidence of MTSS are not well known. OBJECTIVES: This study was done to investigate the association between some anthropometric and anatomical factors and the prevalence of MTSS among military recruits. PATIENTS AND METHODS: One hundred and eighty one randomly selected military recruits were included in this cross sectional study...
June 2015: Asian Journal of Sports Medicine
Daniel R Bonanno, George S Murley, Shannon E Munteanu, Karl B Landorf, Hylton B Menz
BACKGROUND: Foot orthoses are frequently used for the prevention of lower limb overuse injuries but evidence for their effectiveness is limited. The primary aim of this study is to determine if prefabricated foot orthoses reduce the incidence of lower limb overuse injuries in naval recruits undertaking 11 weeks of basic training. METHODS: This study is a participant and assessor blinded, parallel-group, randomised controlled trial. The trial will recruit participants undertaking 11 weeks of basic training at the Royal Australian Navy Recruit School, Cerberus, Victoria, Australia...
2015: Journal of Foot and Ankle Research
Andreas Toepfer, Norbert Harrasser, Ulrich Lenze, Franz Liska, Heinrich Mühlhofer, Rüdiger von Eisenhart-Rothe, Ingo J Banke
BACKGROUND: Medial tibial stress syndrome is one of the most common causes of exertional leg pain in runners whereas musculoskeletal tumors and tumor-like lesions are rare encounters in orthopedic sports medicine practice. Unicameral (simple) bone cyst is a well-known tumor-like lesions of the bone typically affecting children and adolescents. Bilateral occurrence is very rare though and has never been reported before in both tibiae. Failing to accurately diagnose a tumorous lesion can entail far-reaching consequences for both patients and physicians...
2015: BMC Musculoskeletal Disorders
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