Medial tibial stress syndrome
About 4 weeks prior to the presentation, the patient started running for about 5 kilometers a day along with other physical activities. Presented with a complaint of bilateral shin pain for the last 2 weeks.
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At the site of pain pointed to by the patient there is anechoic subperiosteal fluid rim involving the anteromedial shaft of the tibia in mid-third of both legs. There is no cortical erosion / large subperiosteal collection.
A young female started recently running as a physical activity followed by bilateral shin pain. Ultrasound shows a subperiosteal fluid rim involving tibia at the site of pain. The case shows a typical history and ultrasound findings of a shin splint.