Medial Tibial Stress Syndrome

Reshef, Noam; Guelich, David R.

doi:10.1016/j.csm.2011.09.008

Cited by 105 publications

(56 citation statements)

References 68 publications

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“…Other likely causes of tibial pain such as muscle hernias or other muscular and tendinous abnormalities, spinal pathology and radiculopathy, nerve entrapment syndromes and cellulitis may overlap with MTSS. Additionally the presence of less common ailments such as a malignancy or infection, vascular occlusion or deep vein thrombosis should also be ruled out [1,14,16].…”

mentioning

confidence: 99%

“…A mild oedema or erythema in this painful area may also be present [14,15]. In severe cases pain may be manifested at rest and exacerbate with simple activities [16]. Neurovascular signs and symptoms are not commonly attributable to MTSS and when present, other pathologies such as cronic exertional compartment syndrome (CECS) or vascular deficiencies should be considered as the source of leg pain [3,14].…”

mentioning

confidence: 99%

“…The necessity of diagnostic imaging studies in the presence of a thorough clinical examination is debatable [13,16]. However, plain radiography may be necessary for the detection of a series of other ailments which cause leg pain such as tibial stress fractures, bone tumours, or soft-tissue calcification [17].…”

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confidence: 99%

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Medial Tibial Stress Syndrome in Athletes: Diagnostic and Therapeutic Approach

Angoules¹

2015

J Nov Physiother

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confidence: 99%

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confidence: 99%

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Medial Tibial Stress Syndrome in Athletes: Diagnostic and Therapeutic Approach

Angoules¹

2015

J Nov Physiother

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“…This involves a progression from acute inflammation to local anabolic bone reaction [2][3][4] that ends in structural bone damage [4,5]. Although primary cause of MTSS is unknown [3,6,7], radiology…”

Section: Introductionmentioning

confidence: 99%

“…Recovery of 18 minutes of asymptomatic running may take more than 100 days to return to sport after MTSS [6]. Today, there is not enough information related to recovery or MTSS re-injury process, but physicians and physical therapist usually recommends changing footwear and use an orthopedics insole [3] in order to reduce impact. However, it is not know if this therapeutic management positively affects the mechanical characteristics of impact during running [6].…”

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confidence: 99%

Can Cushioned Shoes with Anatomical Insole Correct the Impact in Runners with Recurring Shin Splint?

Fuente¹

2015

JESO

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Open Access Research Articlefindings show a progressive bone reaction [6] related to impact and running [8,9]. Related risk factors are over pronation, initial rear foot contact, muscle fatigue or previous MTSS.The impact (i.e. "the collision between two objects" [10]), is habitually associated with MTSS [6,8]. Tibial impact during running occurs 150 milliseconds after heel contact [11], with potential harmful effects in runners [8,12]. Low cost accelerometers can be used to assess impact in running [13][14][15] and helps to study mechanical patterns [15][16][17][18]. Heel contact has a correlation coefficient of 87% with ground reaction force [18].Recently, 10 kilometers (10 k) running are massive and inexpensive [19]. Unfortunately, between 27 to 70% of 10k runners may develop MTSS [20,21]. Recovery of 18 minutes of asymptomatic running may take more than 100 days to return to sport after MTSS [6]. Today, there is not enough information related to recovery or MTSS re-injury process, but physicians and physical therapist usually recommends changing footwear and use an orthopedics insole [3] in order to reduce impact. However, it is not know if this therapeutic management positively affects the mechanical characteristics of impact during running [6]. Therefore, our research aim was to determine the effect of cushioned shoes with anatomical insole on impact, over pronation and mechanical strategy to impact during running in 10 k runners, over pronators, rear foot initial contact and unilateral recurrent shin splint respect barefoot running before sport return.We hypothesized that:1. Impact during running is lower using anatomical insole with cushioning shoes compared to bare foot running.2. The over pronation angle in midstance is lower using anatomical insole with cushioned shoes compared to barefoot running. AbstractShin splint injury usually takes several weeks to recover. We determine the effect of cushioned shoes with anatomical insole on impact, over pronation and mechanical strategy to impact during running in 10 k runners, over pronators, rear foot initial contact and unilateral recurrent shin splint respect bare foot running before sport return.Fourteen runners with recurrent shin splint who underwent standardized physical therapy were included. We compared by one tailed paired t-test the variables impact, rear foot over pronation angle in midstance and mechanical strategy to impact during barefoot running condition with anatomical insole and cushioned shoes running condition (α=0.05 and 1-β=80%).The impact was reduced from 6.893 g to 6.600 g (95% CI: 6.513 g-6.686 g, p<0.001) using cushioned shoes with anatomical insole condition respect barefoot running condition. The over pronation angle in midstance was reduced from 18.50° to 16.21° (95% CI: 14.29°-18.13°, p = 0.011) using cushioned shoes with anatomical insole condition respect barefoot running condition. The mechanical strategy to impact analyzed by cross correlation coefficient between cushioned shoes with anatomical insole condition with barefoot...

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Interactions Between Muscle and Bone

Brotto

2018

Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism

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Medial Tibial Stress Syndrome

Cited by 105 publications

References 68 publications

Medial Tibial Stress Syndrome in Athletes: Diagnostic and Therapeutic Approach

Medial Tibial Stress Syndrome in Athletes: Diagnostic and Therapeutic Approach

Can Cushioned Shoes with Anatomical Insole Correct the Impact in Runners with Recurring Shin Splint?

Interactions Between Muscle and Bone

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