Medial tibial stress syndrome

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Presented with a complaint of bilateral shin pain for the last 2 days. During the last four days, the patient participated in a dance festival which involved dancing for about two to three hours a day.

Patient Data

Age: 35 years
Gender: Female
x-ray

The bones show normal cortex and trabecular pattern. There is no fracture, dislocation or periosteal reaction.

ultrasound

There is a rim of subperiosteal anechoic fluid abutting both tibias at the site of pain pointed to by the patient. There is no collection or erosion of the cortex.

Case Discussion

A female presented with bilateral shin pain for the past 2 days. She had increased physical activity in the form of dancing for 2- 3 hours a day for the last few days. Ultrasound shows a classical finding of medial tibial stress syndrome.

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