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Scand J Med Sci Sports. 2012 Feb;22(1):34-9. doi: 10.1111/j.1600-0838.2010.01144.x. Epub 2010 Jun 18.

Risk factors and prognostic indicators for medial tibial stress syndrome.

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Rehabilitation and Sports Medicine Department, University Medical Center Utrecht, Utrecht, The Netherlands.


The objective of the study was to examine the risk factors and prognostic indicators for medial tibial stress syndrome (MTSS). In total, 35 subjects were included in the study. For the risk factor analysis, the following parameters were investigated: hip internal and external ranges of motion, knee flexion and extension, dorsal and plantar ankle flexion, hallux flexion and extension, subtalar eversion and inversion, maximal calf girth, lean calf girth, standing foot angle and navicular drop test. After multivariate regression decreased hip internal range of motion, increased ankle plantar flexion and positive navicular drop were associated with MTSS. A higher body mass index was associated with a longer duration to full recovery. For other prognostic indicators, no relationship was found.

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