Medial Tibial Stress Syndrome

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Original Editors - Karsten De Koster

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Search Strategy [edit | edit source]

Search on Pubmed and Pedro with keywords: “Shin-splints”, “Medial tibial stress-syndrome” , “shin pain”and “tibial periostitis”. Search in libraries books about sport injuries, sports medicine, sport anatomy.

Definition/Description[edit | edit source]

The American Medical Association defines shin-splint syndrome as “pain and discomfort in the leg from repetitive activity on hard surfaces, or due to forceable, excessive use of the foot flexors(1). The diagnosis should be limited to musculoskeletal inflammation, excluding stress fractures or ischemic disorders” ((1) Citation).


Shin-splints is a general term for overuse injuries of the lower leg, except stress fractures and compartmental syndrome. (2) Hutchins C.P. says that shin-splints is a controversial term, because authors disagree about the in- and exclusion criteria’s. (3)


A synonym for shin-splints is: medial tibial stress syndrome. But Bruckner and Kahn say: “A more descriptive term that accounts for the inflammatory, traction event on the tibial aspect of the leg common in runners is medial tibial traction periostitis or just medial tibial periostitis “.


There are five possibilities which can describe the experienced shin pain: bone stress, inflammation, vascular insufficiency, nerve entrapment and a raised intracompartmental pressure.(4)

Clinically Relevant Anatomy[edit | edit source]

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Epidemiology /Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Diagnostic Procedures[edit | edit source]

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Outcome Measures[edit | edit source]

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Examination[edit | edit source]

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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]

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Resources
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Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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