Medial tibial stress syndrome

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Painful distal shin bone over 6 weeks in an active long-distance runner.

Patient Data

Age: 30 years
Gender: Male
x-ray
Frontal
Lateral
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Info

Minimal thickening and unsharp contour of the cortical bone at the distal tibia shaft.

mri
This study is a stack
Coronal
T1
This study is a stack
Coronal
T1
This study is a stack
Coronal
STIR
This study is a stack
Axial
T2*
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Info

Marrow and periosteal edema on MRI.

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