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Medial tibial stress syndrome

MedGen UID:
305587
•Concept ID:
C1696469
•
Disease or Syndrome
Synonyms: Medial Tibial Stress Syndrome; Medial Tibial Stress Syndrome (MTSS); Medial Tibial Stress Syndromes; Shin Splint; Shin Splints
SNOMED CT: Medial tibial stress syndrome (1290770000)

Definition

SKELETAL MUSCLE pain and tenderness along the posteromedial TIBIA resulting from exercise such as running and other physical activity. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMedial tibial stress syndrome

Professional guidelines

PubMed

The diagnosis and management of medial tibial stress syndrome : An evidence update.
Winters M
Unfallchirurg 2020 Jan;123(Suppl 1):15-19. doi: 10.1007/s00113-019-0667-z. PMID: 31098646
Common Running Injuries: Evaluation and Management.
Arnold MJ, Moody AL
Am Fam Physician 2018 Apr 15;97(8):510-516. PMID: 29671490
Stress fractures: diagnosis, treatment, and prevention.
Patel DS, Roth M, Kapil N
Am Fam Physician 2011 Jan 1;83(1):39-46. PMID: 21888126

Recent clinical studies

Etiology

Medial tibial stress fracture diagnosis and treatment guidelines.
Milgrom C, Zloczower E, Fleischmann C, Spitzer E, Landau R, Bader T, Finestone AS
J Sci Med Sport 2021 Jun;24(6):526-530. Epub 2020 Dec 3 doi: 10.1016/j.jsams.2020.11.015. PMID: 33298373
Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review.
Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H
Int J Environ Res Public Health 2020 Oct 13;17(20) doi: 10.3390/ijerph17207457. PMID: 33066291Free PMC Article
Treatment of medial tibial stress syndrome: a systematic review.
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW
Sports Med 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0. PMID: 23979968
Medial tibial stress syndrome.
Reshef N, Guelich DR
Clin Sports Med 2012 Apr;31(2):273-90. doi: 10.1016/j.csm.2011.09.008. PMID: 22341017
Stress fractures: diagnosis, treatment, and prevention.
Patel DS, Roth M, Kapil N
Am Fam Physician 2011 Jan 1;83(1):39-46. PMID: 21888126

Diagnosis

Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review.
Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H
Int J Environ Res Public Health 2020 Oct 13;17(20) doi: 10.3390/ijerph17207457. PMID: 33066291Free PMC Article
The diagnosis and management of medial tibial stress syndrome : An evidence update.
Winters M
Unfallchirurg 2020 Jan;123(Suppl 1):15-19. doi: 10.1007/s00113-019-0667-z. PMID: 31098646
Common Running Injuries: Evaluation and Management.
Arnold MJ, Moody AL
Am Fam Physician 2018 Apr 15;97(8):510-516. PMID: 29671490
Medial tibial stress syndrome.
Reshef N, Guelich DR
Clin Sports Med 2012 Apr;31(2):273-90. doi: 10.1016/j.csm.2011.09.008. PMID: 22341017
Stress fractures: diagnosis, treatment, and prevention.
Patel DS, Roth M, Kapil N
Am Fam Physician 2011 Jan 1;83(1):39-46. PMID: 21888126

Therapy

Effect of hip abductors training on pelvic drop and knee valgus in runners with medial tibial stress syndrome: a randomized controlled trial.
Lashien SA, Abdelnaeem AO, Gomaa EF
J Orthop Surg Res 2024 Oct 29;19(1):700. doi: 10.1186/s13018-024-05139-3. PMID: 39468623Free PMC Article
Extracorporeal Shockwave Therapy in the Management of Sports Medicine Injuries.
Schroeder AN, Tenforde AS, Jelsing EJ
Curr Sports Med Rep 2021 Jun 1;20(6):298-305. doi: 10.1249/JSR.0000000000000851. PMID: 34099607
Treatment of medial tibial stress syndrome: a systematic review.
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW
Sports Med 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0. PMID: 23979968
Stress fractures: diagnosis, treatment, and prevention.
Patel DS, Roth M, Kapil N
Am Fam Physician 2011 Jan 1;83(1):39-46. PMID: 21888126
Medial tibial stress syndrome: a critical review.
Moen MH, Tol JL, Weir A, Steunebrink M, De Winter TC
Sports Med 2009;39(7):523-46. doi: 10.2165/00007256-200939070-00002. PMID: 19530750

Prognosis

A systematic review of running-related musculoskeletal injuries in runners.
Kakouris N, Yener N, Fong DTP
J Sport Health Sci 2021 Sep;10(5):513-522. Epub 2021 Apr 20 doi: 10.1016/j.jshs.2021.04.001. PMID: 33862272Free PMC Article
Medial tibial stress fracture diagnosis and treatment guidelines.
Milgrom C, Zloczower E, Fleischmann C, Spitzer E, Landau R, Bader T, Finestone AS
J Sci Med Sport 2021 Jun;24(6):526-530. Epub 2020 Dec 3 doi: 10.1016/j.jsams.2020.11.015. PMID: 33298373
Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review.
Winkelmann ZK, Anderson D, Games KE, Eberman LE
J Athl Train 2016 Dec;51(12):1049-1052. Epub 2016 Nov 11 doi: 10.4085/1062-6050-51.12.13. PMID: 27835043Free PMC Article
What are the main running-related musculoskeletal injuries? A Systematic Review.
Lopes AD, Hespanhol Júnior LC, Yeung SS, Costa LO
Sports Med 2012 Oct 1;42(10):891-905. doi: 10.1007/BF03262301. PMID: 22827721Free PMC Article
Common problems in endurance athletes.
Cosca DD, Navazio F
Am Fam Physician 2007 Jul 15;76(2):237-44. PMID: 17695568

Clinical prediction guides

Is the addition of running retraining to best standard care beneficial in runners with medial tibial stress syndrome? Protocol for a randomised controlled trial.
Anderson LM, Bonanno DR, Calnin BJ, Sritharan P, Willy RW, Erbas B, Batra M, Menz HB
J Foot Ankle Res 2024 Jun;17(2):e12029. doi: 10.1002/jfa2.12029. PMID: 38873909Free PMC Article
Medial tibial stress fracture diagnosis and treatment guidelines.
Milgrom C, Zloczower E, Fleischmann C, Spitzer E, Landau R, Bader T, Finestone AS
J Sci Med Sport 2021 Jun;24(6):526-530. Epub 2020 Dec 3 doi: 10.1016/j.jsams.2020.11.015. PMID: 33298373
Medial tibial stress syndrome can be diagnosed reliably using history and physical examination.
Winters M, Bakker EWP, Moen MH, Barten CC, Teeuwen R, Weir A
Br J Sports Med 2018 Oct;52(19):1267-1272. Epub 2017 Feb 8 doi: 10.1136/bjsports-2016-097037. PMID: 28179260
Shockwave treatment for medial tibial stress syndrome in military cadets: A single-blind randomized controlled trial.
Gomez Garcia S, Ramon Rona S, Gomez Tinoco MC, Benet Rodriguez M, Chaustre Ruiz DM, Cardenas Letrado FP, Lopez-Illescas Ruiz Á, Alarcon Garcia JM
Int J Surg 2017 Oct;46:102-109. Epub 2017 Sep 5 doi: 10.1016/j.ijsu.2017.08.584. PMID: 28882773
Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review.
Winkelmann ZK, Anderson D, Games KE, Eberman LE
J Athl Train 2016 Dec;51(12):1049-1052. Epub 2016 Nov 11 doi: 10.4085/1062-6050-51.12.13. PMID: 27835043Free PMC Article

Recent systematic reviews

A systematic review of running-related musculoskeletal injuries in runners.
Kakouris N, Yener N, Fong DTP
J Sport Health Sci 2021 Sep;10(5):513-522. Epub 2021 Apr 20 doi: 10.1016/j.jshs.2021.04.001. PMID: 33862272Free PMC Article
Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review.
Menéndez C, Batalla L, Prieto A, Rodríguez MÁ, Crespo I, Olmedillas H
Int J Environ Res Public Health 2020 Oct 13;17(20) doi: 10.3390/ijerph17207457. PMID: 33066291Free PMC Article
Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors.
Reinking MF, Austin TM, Richter RR, Krieger MM
Sports Health 2017 May/Jun;9(3):252-261. Epub 2016 Oct 1 doi: 10.1177/1941738116673299. PMID: 27729482Free PMC Article
Treatment of medial tibial stress syndrome: a systematic review.
Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW
Sports Med 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0. PMID: 23979968
What are the main running-related musculoskeletal injuries? A Systematic Review.
Lopes AD, Hespanhol Júnior LC, Yeung SS, Costa LO
Sports Med 2012 Oct 1;42(10):891-905. doi: 10.1007/BF03262301. PMID: 22827721Free PMC Article

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